Organization Active NPI

Health Services Administration, Inc

  • Skilled Nursing Facility
  • Centralia, MO
National Provider Identifier
1154328953
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031309 Issued in MO
Legal business name
HEALTH SERVICES ADMINISTRATION, INC
Practice address
750 E Highway 22
Centralia, MO 65240-1146
Phone
(573) 682-5551
Fax
(573) 682-1469
NPI assigned
Jul 7, 2005
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Reiker
Title
Vice President - Finance
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031309 MO Primary

Addresses

Primary practice location

750 E Highway 22
Centralia, MO 65240-1146

Mailing address

750 E Highway 22
Centralia, MO 65240-1146
Phone (573) 682-5551

Other identifiers 1

IdentifierTypeStateIssuer
101453900MedicaidMO

Other names 1

  • Heritage Hall Nursing Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1154328953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E HIGHWAY 22",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401146",
            "telephone_number": "573-682-5551",
            "fax_number": "573-682-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E HIGHWAY 22",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401146",
            "telephone_number": "573-682-5551",
            "fax_number": "573-682-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES ADMINISTRATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "573-471-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101453900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Centralia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.