Macon County Nursing Home District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030013 Issued in MO

Legal business name

MACON COUNTY NURSING HOME DISTRICT

Doing business as

Loch Haven

Practice address

701 Sunset Hills Dr
Macon, MO 63552-2165

Phone

(660) 385-3113

Fax

(660) 385-2838

NPI assigned

Sep 14, 2005

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Byron Lynn Freeman

Title

Assistant Administrator

Phone

(660) 385-3113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Loch Haven Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013902139. Details of each certification follow.

• CCN 265200 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265200

Legal name

MACON COUNTY NURSING HOME DISTRICT

Doing business as

LOCH HAVEN NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1983

Last certification

Nov 2, 2023

Beds

100

Ownership / control type

County

Organization structure

OtherNon-profit

Enrollment address

701 Sunset Hills Drive
Macon, MO 63552-2165

Nursing home name

LOCH HAVEN

Listed as

Loch HavenCCN 265200 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Aug 1, 1983

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10071.5 residents per day on average

Penalties (3 years)

2Fines totaling $77,841

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie L Burdin, MD

  • Family Medicine Physician
  • Macon, MO
  • NPI 1952340663
  NPD (past)
• James W McDowell, MD

  • Family Medicine Physician
  • Macon, MO
  • NPI 1255370482
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Julie L Burdin, MD

  • Family Medicine Physician
  • Macon, MO
  • NPI 1952340663

  Nursing home

  Care Compare affiliation
• James L Deline, M.D.

  • Family Medicine Physician
  • Macon, MO
  • NPI 1821091810

  Nursing home

  Care Compare affiliation
• Lisa Michelle Mayes, D.O.

  • Family Medicine Physician
  • Macon, MO
  • NPI 1558651794

  Nursing home

  Care Compare affiliation
• James W McDowell, MD

  • Family Medicine Physician
  • Macon, MO
  • NPI 1255370482

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1013902139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SUNSET HILLS DR",
            "address_2": "P O BOX 187",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522165",
            "telephone_number": "660-385-3113",
            "fax_number": "660-385-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SUNSET HILLS DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522165",
            "telephone_number": "660-385-3113",
            "fax_number": "660-385-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY NURSING HOME DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "660-385-3113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101490001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loch Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Long Branch Dental Group, del G. Gregory, D.D.S., PC
• Andrew Lovy, D. O.
• Macon County Ambulance District
• Macon County Commission for Developmentally Disabled Citizens
• Macon County Health Department
• Macon County R-1
• Macon County Samaritan Hospital
• Macon County Samaritan Hospital (Total Family Healthcare)
• Macon County Samaritan Hospital (Samaritan Hospital)
• Macon County Samaritan Hospital (Samaritan Hospital)

• Skilled Nursing Facility in Macon, MO
• Providers in Macon, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.