N & R of Greenville, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

029954 Issued in MO

Legal business name

N & R OF GREENVILLE, INC.

Doing business as

Greenville Health Care

Practice address

Sycamore St
Greenville, MO 63944

Phone

(573) 224-3298

Fax

(573) 224-5338

NPI assigned

Sep 22, 2005

Last updated

Apr 25, 2008By 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

Mr. Thomas Hudspeth

Title

Coo Cfo

Phone

(573) 392-0316

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Greenville Health Care Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1073509345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "639440108",
            "telephone_number": "573-224-3298",
            "fax_number": "573-224-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SYCAMORE ST",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "63944",
            "telephone_number": "573-224-3298",
            "fax_number": "573-224-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF GREENVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HUDSPETH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO CFO",
        "authorized_official_telephone_number": "573-392-0316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "029954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102758307",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16877942",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Haldeman Jr., BSN, RN
• Tiffany Eliazbeth Henry
• Jennifer Anne Hovis, FNP
• Norma Kay Lloyd
• Kimberly Michelle Melton
• Parkland Pharmacy Development LLC (Parkland Pharmacy)
• Babita Patnaik
• Melinda Karole Smith-Matthews, PT
• Yvonne L Smith, FNP
• Gabriel Thompson, LPC

• Skilled Nursing Facility in Greenville, MO
• Providers in Greenville, 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 25, 2008; 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.