Organization Active NPI

N & R of Sikeston at Clearview Inc

  • Skilled Nursing Facility
  • Sikeston, MO
National Provider Identifier
1154317535
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
029830 Issued in MO
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

Updated by the provider on Aug 13, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16878159OtherMOSTATE ID
107928509MedicaidMO

Other names 1

  • Clearview Nursing Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 265614
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 17, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9060.6 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain

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
26D0956441Clearview Nursing Center430 Salcedo Road, Sikeston, MO 63801Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Charlotte a Stutts Individual Corporate OfficerSecretary Jan 1, 1999 50%
Timothy O Drake Individual Corporate OfficerPresident Jan 1, 1999 50%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Jan 1, 1999 50%
Gary Crane Individual Corporate DirectorMember Jan 1, 1999 50%
Sandra K McMullin Individual W-2 Managing EmployeeAdministrator Sep 24, 2014
Judy L Lincoln Individual 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.

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

Verify at the official NPI Registry.