NPIMap

Organization Active NPI

N & R of North Columbia LLC

Doing business as Columbia Healthcare Center

  • Skilled Nursing Facility
  • Columbia, MO
National Provider Identifier
1033458435
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040882 Issued in MO
Legal business name
N & R OF NORTH COLUMBIA LLC
Doing business as
Columbia Healthcare Center
Practice address
701 Blue Ridge Rd
Columbia, MO 65202-3734
Phone
(573) 474-6111
Fax
(573) 474-0680
NPI assigned
Feb 5, 2013
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Carla Hedrick, CFO
Title
Cfo
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040882 MO Primary

Addresses

Primary practice location

701 Blue Ridge Rd
Columbia, MO 65202-3734

Mailing address

PO Box 1559
Sikeston, MO 63801-1559
Phone (573) 481-9625

Other identifiers 1

IdentifierTypeStateIssuer
101484400MedicaidMO

Other names 1

  • COLUMBIA HEALTHCARE CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 199.119.81.30:8291 Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000446 MO Part A Provider - Skilled Nursing Facility 7911143466 Practice locations: Columbia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033458435. Details of each certification follow.

Skilled nursing facility certification: CCN 265251

Legal name
N & R OF NORTH COLUMBIA LLC
Doing business as
THE VILLA AT BLUE RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1984
Last certification
Oct 10, 2024
Beds
97
Ownership / control type
Limited Liability Corporation
Multi-facility organization
HEALTH SYSTEMS INC
Most recent change of ownership
Feb 6, 2013
Organization structure
LLCProprietary
Incorporated
Nov 14, 2012 in MO
Enrollment address
701 Blue Ridge Rd
Columbia, MO 65202-3734
Nursing home name
VILLA AT BLUE RIDGE, THE
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Villa at Blue Ridge, theCCN 265251 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9791.8 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0676998Villa at Blue Ridge, the701 Blue Ridge Road, Columbia, MO 65202Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Columbia Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 Blue Ridge Rd
Columbia, MO 65202
Phone (573) 474-6111

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Karin E Borning Individual W-2 Managing EmployeeAdministrator Feb 6, 2013
LTC Management Services LLC Organization, Houston, TX For-profit Operational/Managerial Control Feb 6, 2013 100%
James C Lincoln Individual 5% Or Greater Direct Ownership InterestMember Nov 14, 2012 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership InterestMember Nov 14, 2012 50%

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1033458435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011559",
            "telephone_number": "573-481-9625",
            "fax_number": "573-481-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BLUE RIDGE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023734",
            "telephone_number": "573-474-6111",
            "fax_number": "573-474-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF NORTH COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-481-9625",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "040882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101484400",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "199.119.81.30:8291",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 w 108th ter",
            "city": "overland park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "COLUMBIA HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.