Organization Active NPI

N & R of Chillicothe, Inc.

  • Skilled Nursing Facility
  • Chillicothe, MO
National Provider Identifier
1124014436
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
029387 Issued in MO
Legal business name
N & R OF CHILLICOTHE, INC.
Practice address
118 Trenton Rd
Chillicothe, MO 64601-4002
Phone
(660) 646-0353
Fax
(660) 646-0845
NPI assigned
Sep 22, 2005
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 029387 MO Primary

Addresses

Primary practice location

118 Trenton Rd
Chillicothe, MO 64601-4002

Mailing address

118 Trenton Rd
Chillicothe, MO 64601-4002
Phone (660) 646-0353

Other identifiers 2

IdentifierTypeStateIssuer
103126801MedicaidMO
16780833OtherMOSTATE ID

Other names 1

  • Grand River Health Care 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
O20111213000746 MO Part A Provider - Skilled Nursing Facility 3577738947 Practice locations: Chillicothe, MO

Skilled nursing facility certification: CCN 265480

Legal name
N & R OF CHILLICOTHE, INC.
Doing business as
GRAND RIVER HEALTH CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 8, 1992
Last certification
Feb 27, 2025
Beds
60
Ownership / control type
Corporation
Multi-facility organization
HEALTH SYSTEMS
Organization structure
CorporationProprietary
Incorporated
Aug 1, 1998 in MO
Enrollment address
118 Trenton Rd
Chillicothe, MO 64601-4002
Nursing home name
GRAND RIVER HEALTH CARE
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grand River Health CareCCN 265480
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 8, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6030.0 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $68,226

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
26D0874126N & R of Chillicothe Dba Grand River Health Care118 Trenton Road, Chillicothe, MO 64601Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Charlotte a Stutts Individual Corporate OfficerSecretary Aug 1, 1998 50%
N & R of Chillicothe, Inc. Organization, Chillicothe, MO Corporation Operational/Managerial Control Aug 1, 1998 100%
Timothy O Drake Individual Corporate OfficerPresident Apr 25, 2022 50%
Kent Lauhoff Individual W-2 Managing EmployeeAdministrator Apr 25, 2022 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Aug 1, 1998 50%
Gary Crane Individual Corporate DirectorMember Aug 1, 1998 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Aug 1, 1998 50%

Practitioners & affiliated clinicians

Practitioners 2

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1124014436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TRENTON RD",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646014002",
            "telephone_number": "660-646-0353",
            "fax_number": "660-646-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TRENTON RD",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646014002",
            "telephone_number": "660-646-0353",
            "fax_number": "660-646-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF CHILLICOTHE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "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": "029387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103126801",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16780833",
            "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": "Grand River Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.