N & R of Bertrand, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030478 Issued in MO

Legal business name

N & R OF BERTRAND, INC.

Doing business as

Bertrand Retirement Home

Practice address

603 Highway 62 W
Bertrand, MO 63823-9738

Phone

(573) 683-4290

Fax

(573) 471-6161

NPI assigned

Sep 21, 2005

Last updated

Nov 4, 2011By 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. James C Lincoln

Title

Shareholder

Phone

(573) 746-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bertrand Retirement Home Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1225024664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 62 W",
            "city": "BERTRAND",
            "state": "MO",
            "postal_code": "638239738",
            "telephone_number": "573-683-4290",
            "fax_number": "573-471-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 62 W",
            "city": "BERTRAND",
            "state": "MO",
            "postal_code": "638239738",
            "telephone_number": "573-683-4290",
            "fax_number": "573-471-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF BERTRAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "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": "030478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101480002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16878035",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertrand Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bertrand Nursing & Rehab Ctr LLC
• Matthew Hale
• Crystal Hammond-Morrow, ED. S., NCC, LPC
• Jamie Michelle Scott, MA CCC-SLP
• Solution Focused Counseling
• TLC Home Services
• TLC Home Services

• Skilled Nursing Facility in Bertrand, MO
• Providers in Bertrand, 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 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.