The Osby Corp.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

036776 Issued in MO

Legal business name

THE OSBY CORP.

Doing business as

Daviess County Nursing & Rehab

Practice address

1337 W Grand St
Gallatin, MO 64640-8320

Phone

(660) 663-2197

Fax

(660) 663-2350

NPI assigned

Sep 22, 2005

Last updated

Apr 8, 2009By 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

Ms. Susie Tull

Title

Administrator

Phone

(660) 663-2197

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DAVIESS COUNTY NURSING & REHAB 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 1043206378. Details of each certification follow.

• CCN 265729 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265729

Legal name

THE OSBY CORP

Doing business as

DAVIESS COUNTY NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 7, 2002

Last certification

Apr 25, 2025

Beds

97

Ownership / control type

Corporation

Multi-facility organization

OSBY CORP

Most recent change of ownership

Apr 1, 2009

Organization structure

PartnershipProprietary

Enrollment address

1337 W Grand St
Gallatin, MO 64640-8320

Nursing home name

DAVIESS COUNTY NURSING AND REHABILITATION

Listed as

Daviess County Nursing and RehabilitationCCN 265729 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 7, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9758.7 residents per day on average

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 19

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Larry J Dickinson, D.O.

  • Family Medicine Physician
  • Gallatin, MO
  • NPI 1972583094

  Operational/Managerial Control

  CMS ownership
• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  Adp of the SNF

  CMS 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.

• Muhammad Mudassar Amin, M.D.

  • Internal Medicine Physician
  • Jamesport, MO
  • NPI 1902834930
  NPD (past)
• Larry J Dickinson, D.O.

  • Family Medicine Physician
  • Gallatin, MO
  • NPI 1972583094
  NPD (past)

Affiliated clinicians 3

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

• Muhammad Mudassar Amin, M.D.

  • Internal Medicine Physician
  • Jamesport, MO
  • NPI 1902834930

  Nursing home

  Care Compare affiliation
• Larry J Dickinson, D.O.

  • Family Medicine Physician
  • Gallatin, MO
  • NPI 1972583094

  Nursing home

  Care Compare affiliation
• William V Irby, DO

  • Family Medicine Physician
  • Hamilton, MO
  • NPI 1902874779

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1043206378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 W GRAND ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646408320",
            "telephone_number": "660-663-2197",
            "fax_number": "660-663-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 W GRAND ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646408320",
            "telephone_number": "660-663-2197",
            "fax_number": "660-663-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OSBY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "TULL",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-663-2197",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101485100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIESS COUNTY NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Gallatin, MO
• Providers in Gallatin, 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 Apr 8, 2009; 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.