Active NPI
N & R of Sikeston at Clearview Inc
- Skilled Nursing Facility
- Sikeston, MO
National Provider Identifier
1154317535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 029830
- Legal business name
- N & R OF SIKESTON AT CLEARVIEW INC
- Practice address
- 430 W Salcedo Rd
Sikeston, MO 63801-4802 - Phone
- (573) 471-2565
- Fax
- (573) 471-6155
- NPI assigned
- Sep 21, 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
- Title
- Cfo
- Phone
- (573) 481-9625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 029830 | MO | Primary |
Addresses
Primary practice location
430 W Salcedo Rd
Sikeston, MO 63801-4802
Mailing address
430 W Salcedo Rd
Sikeston, MO 63801-4802
Phone (573) 471-2565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16878159 | Other | MO | STATE ID |
| 107928509 | Medicaid | MO |
Other names 1
- Clearview Nursing Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | 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 |
|---|---|---|---|---|
| O20091221000277 | MO | Part A Provider - Skilled Nursing Facility | 9537209762 | Practice locations: Sikeston, MO |
Skilled nursing facility certification: CCN 265614
- Legal name
- N & R OF SIKESTON AT CLEARVIEW INC
- Doing business as
- CLEARVIEW NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 17, 1995
- Last certification
- Dec 6, 2024
- Beds
- 98 (90 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- Health Systems, Inc.
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1999 in MO
- Enrollment address
- 430 West Salcedo Road
Sikeston, MO 63801-4802 - Nursing home name
- CLEARVIEW NURSING CENTER
- Affiliated entity
- JAMES & JUDY LINCOLN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Clearview Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 17, 1995
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- James & Judy Lincoln
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 |
|---|---|---|---|
| 26D0956441 | Clearview Nursing Center | Certificate of waiver | Jan 27, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 | Jan 1, 1999 | 50% |
| Timothy O Drake | Corporate Officer | Jan 1, 1999 | 50% |
| James C Lincoln | 5% Or Greater Direct Ownership Interest | Jan 1, 1999 | 50% |
| Gary Crane | Corporate Director | Jan 1, 1999 | 50% |
| Sandra K McMullin | W-2 Managing Employee | Sep 24, 2014 | |
| Judy L Lincoln | 5% Or Greater Direct Ownership Interest | Jan 1, 1999 | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Sikeston, MO
- NPI 1972658979
-
- Family Medicine Physician
- Spring, TX
- NPI 1528257508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1154317535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W SALCEDO RD",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014802",
"telephone_number": "573-471-2565",
"fax_number": "573-471-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W SALCEDO RD",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014802",
"telephone_number": "573-471-2565",
"fax_number": "573-471-6155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N & R OF SIKESTON AT CLEARVIEW INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"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"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "029830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "16878159",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107928509",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"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": "Clearview Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.