WOODLAND MANOR
NPI 1164467445
Skilled Nursing Facility in Springfield, MO

Active since June 19, 2006CLIA 26D0937917 · Waiver
1347 E VALLEY WATERMILL ROAD, SPRINGFIELD, MO 65803(417) 833-1220(417) 833-5979 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Woodland Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODLAND MANOR (NPI 1164467445) is a healthcare organization registered as a skilled nursing facility in Springfield, Missouri and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Carol L Gourley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1164467445
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEBG HEALTH CARE III, INC.
Location Address1347 E VALLEY WATERMILL ROADSpringfield, MO 65803
Mailing Address1505 E Trafficway StSpringfield, MO 65802-3174 · (417) 869-5522 · Fax (417) 831-7729
Fax(417) 833-5979
Organization SubpartNo
Authorized OfficialCarol L GourleyChief Financial Officer · (417) 869-5522
Enumeration DateJune 19, 2006
Last NPPES UpdateJanuary 20, 2009
NPI 1164467445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 031859
Definition
(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.
1347 E VALLEY WATERMILL ROAD, Springfield, MO 65803

Other Names 1

Doing Business AsWoodland Manor

Other Identifiers 2

Medicare ID-Type Unspecified265749MO
Medicaid101492502MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0937917

Ebg Health Care III Inc Dba Woodland Manor · Springfield, MO
Active · expires Dec 23, 2027
CLIA Number26D0937917
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorBrenda Alexander
Laboratory Phone(417) 833-1220
Laboratory LocationEbg Health Care III Inc Dba Woodland Manor1347 East Valley Water Mill Road, Springfield, MO 65803
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebg Health Care III, Inc.'s NPI number?

The NPI number for Ebg Health Care III, Inc. is 1164467445. It was assigned to this organization in the NPPES registry on June 19, 2006. The provider is doing business as Woodland Manor.

Where is Ebg Health Care III, Inc. located?

Ebg Health Care III, Inc. is located at 1347 E Valley Watermill Road, Springfield, MO 65803. The listed phone number is (417) 833-1220.

What is Ebg Health Care III, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ebg Health Care III, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0937917) is associated with this NPI, valid through December 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ebg Health Care III, Inc. accept?

Health plans from UnitedHealthcare list Ebg Health Care III, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebg Health Care III, Inc. was last updated on January 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.