Organization Active NPI

N & R of Gerald, Inc.

Doing business as Gerald Nursing & Rehab

  • Skilled Nursing Facility
  • Gerald, MO
National Provider Identifier
1184610487
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
028959 Issued in MO
Legal business name
N & R OF GERALD, INC.
Doing business as
Gerald Nursing & Rehab
Practice address
533 E Canaan Rd
Gerald, MO 63037-2515
Phone
(573) 764-2135
Fax
(573) 764-2771
NPI assigned
Sep 22, 2005
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. James C Lincoln
Title
Shareholder
Phone
(573) 746-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 028959 MO Primary

Addresses

Primary practice location

533 E Canaan Rd
Gerald, MO 63037-2515

Mailing address

533 E Canaan Rd
Gerald, MO 63037-2515
Phone (573) 764-2135

Other identifiers 2

IdentifierTypeStateIssuer
102476009MedicaidMO
16773675OtherMOSTATE ID

Other names 1

  • Gerald Nursing & Rehab 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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1184610487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E CANAAN RD",
            "city": "GERALD",
            "state": "MO",
            "postal_code": "630372515",
            "telephone_number": "573-764-2135",
            "fax_number": "573-764-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E CANAAN RD",
            "city": "GERALD",
            "state": "MO",
            "postal_code": "630372515",
            "telephone_number": "573-764-2135",
            "fax_number": "573-764-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF GERALD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "573-746-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "028959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102476009",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16773675",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerald Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gerald, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.