CMS-1500 Box 24J / 33a • NPI
1710960455
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
314000000X (CMS A1[8])
Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)
Box 32 Service Location & ZIP+4
205 SOUTH COLLEGE AVE, MARIONVILLE, MO, 65705-0403
✓ 9-Digit EDI 837 ZIP+4 (65705-0403)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710960455 (THE OZARKS METHODIST MANOR) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710960455 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | THE OZARKS METHODIST MANOR |
| Plain-English Specialty | Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: 314000000X (Skilled Nursing Facility) |
| Certifying / Licensing Body | CMS Five-Star Quality Rating System / State Department of Health |
| Practice Location Address | 205 SOUTH COLLEGE AVE, MARIONVILLE, MO, 65705-0403 |
| Practice Telephone / Fax | Tel: (417) 258-2573 | Fax: (417) 258-2240 |
| Administrative Mailing Address | PO BOX 403, MARIONVILLE, MO, 65705-0403 |
| Enumeration & Last Sync | Enumerated: 2005-11-28 | CMS Record Updated: 2011-09-13 |
| Authorized Official | MARY COOPER (Executive Director) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (314000000X)
What Does Taxonomy Code 314000000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (THE OZARKS METHODIST MANOR)
Typical CPT / Diagnostic Procedures:- 24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
- Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation
- Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: MO | License: 039150 | Primary: Secondary |
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: MO | License: 031264 | Primary: Secondary |
314000000X — Skilled Nursing FacilityPlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: MO | License: 030003 | Primary: Secondary |
314000000X — Skilled Nursing FacilityPlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: MO | License: 039149 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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