Organization Active NPI

N & R of Smithville LLC

Doing business as Smithville Living Center

  • Skilled Nursing Facility
  • Smithville, MO
National Provider Identifier
1174078257
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
042043 Issued in MO
Legal business name
N & R OF SMITHVILLE LLC
Doing business as
Smithville Living Center
Practice address
106 Hospital Dr
Smithville, MO 64089-9333
Phone
(816) 351-0888
Fax
(816) 532-4896
NPI assigned
Aug 18, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 042043 MO Primary

Addresses

Primary practice location

106 Hospital Dr
Smithville, MO 64089-9333

Mailing address

106 Hospital Dr
Smithville, MO 64089-9333
Phone (816) 351-0888

Other identifiers 1

IdentifierTypeStateIssuer
101496107MedicaidMO

Other names 1

  • SMITHVILLE LIVING CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1174078257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899333",
            "telephone_number": "816-351-0888",
            "fax_number": "816-532-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899333",
            "telephone_number": "816-351-0888",
            "fax_number": "816-532-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF SMITHVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-11-29",
        "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": "042043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101496107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITHVILLE LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.