Active NPI
N & R of Moberly, Inc.
Doing business as Moberly Nursing & Rehab
- Skilled Nursing Facility
- Moberly, MO
National Provider Identifier
1073509329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030550
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16773721 | Other | MO | STATE ID |
| 102303807 | Medicaid | MO |
Other names 1
- Moberly Nursing & Rehab
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0683825 | Moberly Nursing & Rehab | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.