Bertrand Nursing & Rehab Ctr LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

041755 Issued in MO

Legal business name

BERTRAND NURSING & REHAB CTR LLC

Practice address

603 Highway 62 W
Bertrand, MO 63823-9738

Phone

(573) 233-4464

Fax

(573) 472-1880

NPI assigned

Oct 29, 2013

Last updated

Feb 22, 2021By 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. Don D Chance

Title

Administrator

Phone

(573) 683-4290

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bertrand Nursing and Rehab Center Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104254218. Details of each certification follow.

• CCN 265678 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265678

Legal name

BERTRAND NURSING & REHAB CTR LLC

Doing business as

BERTRAND NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 30, 1997

Last certification

Jul 10, 2024

Beds

60

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

603 Highway 62 W
Bertrand, MO 63823-9738

Nursing home name

BERTRAND NURSING AND REHAB CENTER

Listed as

Bertrand Nursing and Rehab CenterCCN 265678 · All quality measures

Overall star rating

4 of 5

Health inspections

5 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 30, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6047.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• William C Bryant IV, M.D.

  • Family Medicine Physician
  • Sikeston, MO
  • NPI 1134107618

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William C Bryant IV, M.D.

  • Family Medicine Physician
  • Sikeston, MO
  • NPI 1134107618
  NPD (past)
• Jimmy D. Heath Jr., M.D.

  • Family Medicine Physician
  • East Prairie, MO
  • NPI 1679551063
  NPD (past)
• Madhu Sahai, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sikeston, MO
  • NPI 1972658979
  NPD (past)

Affiliated clinicians 2

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

• William C Bryant IV, M.D.

  • Family Medicine Physician
  • Sikeston, MO
  • NPI 1134107618

  Nursing home

  Care Compare affiliation
• Lacey Rose Young, MD

  • Family Medicine Physician
  • Sikeston, MO
  • NPI 1932728300

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1104254218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 62 W",
            "city": "BERTRAND",
            "state": "MO",
            "postal_code": "638239738",
            "telephone_number": "573-683-4290",
            "fax_number": "573-683-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 62 W",
            "city": "BERTRAND",
            "state": "MO",
            "postal_code": "638239738",
            "telephone_number": "573-233-4464",
            "fax_number": "573-472-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTRAND NURSING & REHAB CTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-683-4290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "041755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101480002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertrand Nursing and Rehab Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Hale
• Crystal Hammond-Morrow, ED. S., NCC, LPC
• N & R of Bertrand, Inc. (Bertrand Retirement Home)
• Jamie Michelle Scott, MA CCC-SLP
• Solution Focused Counseling

• Skilled Nursing Facility in Bertrand, MO
• Providers in Bertrand, 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 Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.