NPIMap

Organization Active NPI

N & R of Springfield East LLC

  • Skilled Nursing Facility
  • Springfield, MO
National Provider Identifier
1104223528
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
042520 Issued in MO
Legal business name
N & R OF SPRINGFIELD EAST LLC
Practice address
3535 E Cherokee St
Springfield, MO 65809-2829
Phone
(417) 889-9955
Fax
(417) 889-5818
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 042520 MO Primary

Addresses

Primary practice location

3535 E Cherokee St
Springfield, MO 65809-2829

Mailing address

3535 E Cherokee St
Springfield, MO 65809-2829
Phone (417) 889-9955

Other identifiers 1

IdentifierTypeStateIssuer
103082707MedicaidMO

Other names 1

  • GLENDALE GARDENS NURSING & REHAB 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
O20150109001212 MO Part A Provider - Skilled Nursing Facility 2163746678 Practice locations: Springfield, MO

Skilled nursing facility certification: CCN 265473

Legal name
N & R OF SPRINGFIELD EAST LLC
Doing business as
GLENDALE GARDENS NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 28, 1991
Last certification
Jan 26, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Dec 1, 2014 in MO
Enrollment address
3535 East Cherokee
Springfield, MO 65809-2829
Nursing home name
GLENDALE GARDENS NURSING & REHAB
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glendale Gardens Nursing & RehabCCN 265473
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 28, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12095.8 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain

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
26D0924225N & R of Springfield East LLC3535 East Cherokee, Springfield, MO 65809Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Christian Health and Rehabilitation of Springfield East2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Brian Sharp Individual W-2 Managing EmployeeAdministrator Apr 25, 2022 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Dec 1, 2014 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Dec 1, 2014 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Dec 1, 2014 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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1104223528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092829",
            "telephone_number": "417-889-9955",
            "fax_number": "417-889-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092829",
            "telephone_number": "417-889-9955",
            "fax_number": "417-889-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF SPRINGFIELD EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "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": "042520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103082707",
            "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": "GLENDALE GARDENS NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.