N & R of Greene Haven LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

034476 Issued in MO

Legal business name

N & R OF GREENE HAVEN LLC

Practice address

910 S West Ave
Springfield, MO 65802-9999

Phone

(417) 865-8741

Fax

(417) 865-7601

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

James C Lincoln

Title

Member

Phone

(573) 481-9625

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jordan Creek Doing business as

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1255465928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WEST AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658029999",
            "telephone_number": "417-865-8741",
            "fax_number": "417-865-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WEST AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658029999",
            "telephone_number": "417-865-8741",
            "fax_number": "417-865-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF GREENE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "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": "034476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101477107",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "153818",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Myers
• Rachel H Myers, PLPC
• Terri Myers, MS CCC-SLP
• Swe Myo, MD
• N & R of Brookhaven LLC
• N & R of Springfield East LLC
• N & R of Springfield Montclair LLC
• N & R of Springfield West LLC
• N Eugene Morrow MD LLC
• N'Spire Abilities LLC

• Skilled Nursing Facility in Springfield, MO
• Providers in Springfield, 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 Jul 30, 2013; 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.