NPIMap

Organization Active NPI

N & R of St James LLC

  • Skilled Nursing Facility
  • Saint James, MO
National Provider Identifier
1073068151
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
042091 Issued in MO
Legal business name
N & R OF ST JAMES LLC
Practice address
415 Sidney St
Saint James, MO 65559-1070
Phone
(573) 265-8921
Fax
(573) 265-5133
NPI assigned
Aug 18, 2016
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 042091 MO Primary

Addresses

Primary practice location

415 Sidney St
Saint James, MO 65559-1070

Mailing address

415 Sidney St
Saint James, MO 65559-1070
Phone (573) 265-8921

Other identifiers 1

IdentifierTypeStateIssuer
101453801MedicaidMO

Other names 1

  • ST JAMES LIVING 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
O20161130001676 MO Part A Provider - Skilled Nursing Facility 1557641958 Practice locations: Saint James, MO

Skilled nursing facility certification: CCN 265225

Legal name
N & R OF ST JAMES LLC
Doing business as
ST. JAMES LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 14, 1984
Last certification
Jul 17, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Health Systems Incorporated
Organization structure
LLCProprietary
Incorporated
Sep 1, 2016 in MO
Enrollment address
415 Sidney St
Saint James, MO 65559-1070
Nursing home name
ST JAMES LIVING CENTER
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
St James Living CenterCCN 265225
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 14, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9049.3 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Penalties (3 years)
1Fines totaling $14,069

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
26D0725936N & R of St James, LLC415 Sidney Street, Saint James, MO 65559Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Sep 1, 2016 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 50%
Operational/Managerial Control Sep 1, 2016
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1073068151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SIDNEY ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591070",
            "telephone_number": "573-265-8921",
            "fax_number": "573-265-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SIDNEY ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591070",
            "telephone_number": "573-265-8921",
            "fax_number": "573-265-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF ST JAMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "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": "042091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101453801",
            "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": "ST JAMES LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint James, MO

Sources for this page

Verify at the official NPI Registry.