Active NPI
N & R of Chillicothe, Inc.
- Skilled Nursing Facility
- Chillicothe, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 029387
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103126801 | Medicaid | MO | |
| 16780833 | Other | MO | STATE ID |
Other names 1
- Grand River Health Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 8, 1992
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- James & Judy Lincoln
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0874126 | N & R of Chillicothe Dba Grand River Health Care | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Charlotte a Stutts | Corporate Officer | Aug 1, 1998 | 50% |
| N & R of Chillicothe, Inc. | Operational/Managerial Control | Aug 1, 1998 | 100% |
| Timothy O Drake | Corporate Officer | Apr 25, 2022 | 50% |
| Kent Lauhoff | W-2 Managing Employee | Apr 25, 2022 | 100% |
| James C Lincoln | 5% Or Greater Direct Ownership Interest | Aug 1, 1998 | 50% |
| Gary Crane | Corporate Director | Aug 1, 1998 | 50% |
| Judy L Lincoln | 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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801325501
-
- Family Medicine Physician
- Chillicothe, MO
- NPI 1669441531
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Psychiatric/Mental Health Nurse Practitioner
- Belleville, IL
- NPI 1477361343
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.