VAN BUREN NO1 INC (NPI# 1881626836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881626836 |
| Entity Type | Organization |
| Organization Name | VAN BUREN NO1 INC |
| Other Organization Name | RIVERWAYS MANOR |
| Practice Address |
403 Watercress Road Van Buren MO 63965-0969 |
| Mailing Address |
Po Box 1210 Sikeston MO 63801-1210 |
| Practice Telephone | 5733234282 |
| Practice Fax Number | 5733238224 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | CLIFF SHIRRELL (CORPORATE SECRETARY) |
| Authorized Official Telephone | 5734711276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 043397 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101453702 | 05 |
| Other Name | Type Code |
|---|---|
| Riverways Manor | Doing Business As Name - Organization |
| Street Address |
403 WATERCRESS ROAD |
| City | VAN BUREN |
| State | MO |
| Zip Code | 63965-0969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390396 | Daya Krumenacker | Behavior Technician | 1011 Old Business Highway 60, Van Buren, MO 63965 | 2018-06-19 |
| 1396196234 | Pryor Family Dental, LLC | Dentist | 511 W Elsie St, Van Buren, MO 63965 | 2016-06-22 |
| 1902160302 | Christina Ann Pryor | Dentist | 511 West Elsie Street, Van Buren, MO 63965 | 2012-06-29 |
| 1750563607 | Melissa Lynn Meloy | Counselor | 1011 B Main Street, Van Buren, MO 63965 | 2007-12-03 |
| 1437343019 | Melissa L Christian | Nurse Practitioner | 1009 Main Street, Vanburen, MO 63965 | 2007-08-28 |
| 1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
| 1285758698 | Ryan Clarke Vanwinkle | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2007-03-19 |
| 1568577740 | Gary Guy Tuttle | Dentist | 511 West Elsie St., Van Buren, MO 63965 | 2006-08-20 |
| 1306191036 | Angela Kimberly Kearbey | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-07-18 |
| 1477824274 | Andrea Foerster | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-01-25 |
| Find all providers in zip 63965 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1295914802 | Wonder Boys Properties of Arkansas, LLC | Skilled Nursing Facility | 1404 N 28th St, Van Buren, AR 72956-2931 | 2007-10-31 |
| 1023103918 | Brownwood Manor, Inc. | Skilled Nursing Facility | 1401 N. 28th, Van Buren, AR 72956 | 2006-10-04 |
| 1922016872 | Victoria Healthcare Properties LLC | Skilled Nursing Facility | 2010 Main, Van Buren, AR 72956-4957 | 2006-08-04 |
| 1790730075 | Beverly Enterprises - Arkansas, Inc. | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2006-05-24 |
| 1821571795 | Ltc of Van Buren, LLC | Skilled Nursing Facility | 2010 Main St, Van Buren, AR 72956-4957 | 2018-09-07 |
| 1245604073 | Crawford Progressive Eldercare Services Inc | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2015-11-17 |
| 1740608843 | Highlands of Van Buren, LLC | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2014-04-04 |
| 1902040728 | Pointer Trail Health and Rehabilitation, LLC | Skilled Nursing Facility | 228 Pointer Trl W, Van Buren, AR 72956-2266 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.