N & R of Clinton LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

042951 Issued in MO

Legal business name

N & R OF CLINTON LLC

Doing business as

Westwood Living Center

Practice address

1801 N Gaines Dr
Clinton, MO 64735-1127

Phone

(660) 885-8196

Fax

(660) 885-6081

NPI assigned

Aug 22, 2016

Last updated

Aug 22, 2016By 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

Mathias P Dasal

Title

Member

Phone

(573) 481-9625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTWOOD LIVING CENTER Doing business as

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1124573951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351127",
            "telephone_number": "660-885-8196",
            "fax_number": "660-885-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351127",
            "telephone_number": "660-885-8196",
            "fax_number": "660-885-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF CLINTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "DASAL",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-481-9625"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "042951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101457901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTWOOD LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia A Moran, NP-C
• Kristal Lynn Moran
• Kelly R. Morris-Duhamell, LPC
• Joseph A. Myers, M.D.
• Lyndsay Kaye Myers, PT, DPT
• Alexis Nelson, PBA
• Annette S Nelson, MA
• Theresa Newbanks, NP
• Emily Newsome, LPN
• Joyce Frances Nichols, FNP

• Skilled Nursing Facility in Clinton, MO
• Providers in Clinton, 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 Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.