McCutchen Rd Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MCCUTCHEN RD HEALTHCARE LLC

Doing business as

Aurora Health and Rehabilitation

Practice address

1200 McCutchen Rd
Rolla, MO 65401-2615

Phone

(573) 364-2311

NPI assigned

Jun 9, 2023

Last updated

Jun 9, 2023By 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

William Miller

Title

Authorized Person

Phone

(253) 268-2410

Specialties & licenses 1

Addresses

Other names 1

• Aurora Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235813387. Details of each certification follow.

• CCN 265844 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265844

Legal name

MCCUTCHEN RD HEALTHCARE LLC

Doing business as

AURORA HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 5, 2013

Last certification

Jun 28, 2024

Beds

116

Ownership / control type

Corporation

Multi-facility organization

Vertical Health Services

Organization structure

LLCProprietary

Enrollment address

1200 McCutchen Rd
Rolla, MO 65401-2615

Nursing home name

AURORA HEALTH AND REHABILITATION

Affiliated entity

VERTICAL HEALTH SERVICES

Listed as

Aurora Health and RehabilitationCCN 265844 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 5, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11671.1 residents per day on average

Chain

Vertical Health Services15 facilities in the chain

Penalties (3 years)

3Fines totaling $32,782

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Elizabeth H Maylack, D.O.

  • Family Medicine Physician
  • Saint Charles, MO
  • NPI 1154687077

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth H Maylack, D.O.

  • Family Medicine Physician
  • Saint Charles, MO
  • NPI 1154687077
  NPD (past)
• Jawed H. Siddiqui, M.D.

  • Internal Medicine Physician
  • Florissant, MO
  • NPI 1699705293
  NPD (past)

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1235813387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 CANYON RD E STE 8",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCCUTCHEN RD",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012615",
            "telephone_number": "573-364-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCUTCHEN RD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "253-268-2410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Mayes
• Larry Mazzeo, AU.D.
• Tracy L McCoy Maloskey, DO
• Akela Rayne McCracken
• Haley Long McCreery, O.D.
• Rachel Keiko McDaniel
• Kylie McDonald, NP-C
• Sean A. McEnaney, MD
• Sarah M McKee, RN,FNP-BC
• Kathryn M McKnight, MA, LPC

• Skilled Nursing Facility in Rolla, MO
• Providers in Rolla, 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 Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.