Organization Active NPI

N & R of Moberly, Inc.

Doing business as Moberly Nursing & Rehab

  • Skilled Nursing Facility
  • Moberly, MO
National Provider Identifier
1073509329
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030550 Issued in MO
Legal business name
N & R OF MOBERLY, INC.
Doing business as
Moberly Nursing & Rehab
Practice address
700 E Urbandale Dr
Moberly, MO 65270-1966
Phone
(660) 263-9060
Fax
(660) 263-4132
NPI assigned
Sep 22, 2005
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. James C Lincoln
Title
Member
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030550 MO Primary

Addresses

Primary practice location

700 E Urbandale Dr
Moberly, MO 65270-1966

Mailing address

700 E Urbandale Dr
Moberly, MO 65270-1966
Phone (660) 263-9060

Other identifiers 2

IdentifierTypeStateIssuer
16773721OtherMOSTATE ID
102303807MedicaidMO

Other names 1

  • Moberly Nursing & Rehab Doing business as

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
26D0683825Moberly Nursing & Rehab700 E Urbandale Drive, Moberly, MO 65270Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

700 E Urbandale Dr
Moberly, MO 65270
Phone (660) 263-9060

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1073509329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E URBANDALE DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701966",
            "telephone_number": "660-263-9060",
            "fax_number": "660-263-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E URBANDALE DR",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701966",
            "telephone_number": "660-263-9060",
            "fax_number": "660-263-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF MOBERLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-481-9625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16773721",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102303807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moberly Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.