N & R of Oak Grove, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031362 Issued in MO

Legal business name

N & R OF OAK GROVE, LLC

Doing business as

Oak Grove Nursing & Rehab

Practice address

2108 SW Mitchell St
Oak Grove, MO 64075-9472

Phone

(816) 690-4118

Fax

(816) 690-8680

NPI assigned

Sep 22, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hudspeth

Title

Coo Cfo

Phone

(573) 392-0316

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oak Grove Nursing & Rehab Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225024581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 SW MITCHELL ST",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640759472",
            "telephone_number": "816-690-4118",
            "fax_number": "816-690-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 SW MITCHELL ST",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640759472",
            "telephone_number": "816-690-4118",
            "fax_number": "816-690-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF OAK GROVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSPETH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO CFO",
        "authorized_official_telephone_number": "573-392-0316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "17340799",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Grove Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Martin
• Ronald L Marvin, D.C.
• Kaitlynn Anne McKay, FNP
• Kurtis Mlinar, DC
• William Patrick Monroe, DC
• Cheryl Ann Needham-Rives, SLP
• Rachel Kathleen Newman
• Brandon Notz
• Oak Grove Chiropractic LLC
• Oak Grove R-6 School Distr

• Skilled Nursing Facility in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.