Organization Active NPI

Rose Missouri Nursing, LLC

Doing business as Red Rose Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Cassville, MO
National Provider Identifier
1063799153
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
039678 Issued in MO
Legal business name
ROSE MISSOURI NURSING, LLC
Doing business as
Red Rose Health and Rehabilitation Center
Practice address
812 Old Exeter Rd
Cassville, MO 65625-1704
Phone
(417) 847-2184
Fax
(417) 847-2642
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Boyd P Gentry
Title
President & Ceo
Phone
(937) 964-8974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 039678 MO Primary

Addresses

Primary practice location

812 Old Exeter Rd
Cassville, MO 65625-1704

Mailing address

812 Old Exeter Rd
Cassville, MO 65625-1704
Phone (417) 847-2184

Other names 1

  • Red Rose Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1063799153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 OLD EXETER RD",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251704",
            "telephone_number": "417-847-2184",
            "fax_number": "417-847-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 OLD EXETER RD",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656251704",
            "telephone_number": "417-847-2184",
            "fax_number": "417-847-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MISSOURI NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-964-8974"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "039678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rose Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.