Active NPI
Health Services of Farmington, Inc
- Skilled Nursing Facility
- Farmington, MO
National Provider Identifier
1114924800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030990
- Legal business name
- HEALTH SERVICES OF FARMINGTON, INC
- Practice address
- 1108 W Liberty St
Farmington, MO 63640-1922 - Phone
- (573) 756-6658
- Fax
- (573) 756-8663
- NPI assigned
- Jul 7, 2005
- 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
- James Reiker
- Title
- Vice President - Finance
- Phone
- (573) 471-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030990 | MO | Primary |
Addresses
Primary practice location
1108 W Liberty St
Farmington, MO 63640-1922
Mailing address
1108 W Liberty St
Farmington, MO 63640-1922
Phone (573) 756-6658
Other names 1
- Southbrook Skilled Nursing Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114924800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401922",
"telephone_number": "573-756-6658",
"fax_number": "573-756-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401922",
"telephone_number": "573-756-6658",
"fax_number": "573-756-8663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SERVICES OF FARMINGTON, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REIKER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
"authorized_official_telephone_number": "573-471-1113"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "030990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southbrook Skilled Nursing Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.