NPIMap

Organization Active NPI

N & R of Christian Republic LLC

Doing business as Republic Nursing & Rehab

  • Skilled Nursing Facility
  • Republic, MO
National Provider Identifier
1114333812
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040950 Issued in MO
Legal business name
N & R OF CHRISTIAN REPUBLIC LLC
Doing business as
Republic Nursing & Rehab
Practice address
901 East Hwy 174
Republic, MO 65738-1155
Phone
(417) 732-1822
Fax
(417) 732-1084
NPI assigned
Jul 2, 2014
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 040950 MO Primary

Addresses

Primary practice location

901 East Hwy 174
Republic, MO 65738-1155

Mailing address

901 East Hwy 174
Republic, MO 65738-1155
Phone (417) 732-1822

Other identifiers 1

IdentifierTypeStateIssuer
102459104MedicaidMO

Other names 1

  • REPUBLIC 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
O20140801000864 MO Part A Provider - Skilled Nursing Facility 7517183262 Practice locations: Republic, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114333812. Details of each certification follow.

Skilled nursing facility certification: CCN 265326

Legal name
N & R OF CHRISTIAN REPUBLIC LLC
Doing business as
REPUBLIC NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 15, 1988
Last certification
Mar 14, 2024
Beds
127
Ownership / control type
Corporation
Multi-facility organization
Health Systems Inc
Organization structure
LLCProprietary
Incorporated
Jul 1, 2014 in MO
Enrollment address
901 East Hwy 174
Republic, MO 65738-1155
Nursing home name
REPUBLIC NURSING & REHAB
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Republic Nursing & RehabCCN 265326 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 15, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
127110.5 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Christian Health and Rehabilitation of Republic2 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
Darius M Love Individual W-2 Managing EmployeeAdministrator Mar 11, 2013 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Jul 1, 2014 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Jul 1, 2014 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Jul 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1114333812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EAST HWY 174",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381155",
            "telephone_number": "417-732-1822",
            "fax_number": "417-732-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EAST HWY 174",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381155",
            "telephone_number": "417-732-1822",
            "fax_number": "417-732-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF CHRISTIAN REPUBLIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "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": "040950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102459104",
            "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": "REPUBLIC NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Republic, MO

Sources for this page

Verify at the official NPI Registry.