Christian Health and Rehabilitation of Nevada, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

037474 Issued in MO

Legal business name

CHRISTIAN HEALTH AND REHABILITATION OF NEVADA, LLC

Doing business as

Christian Health and Rehabilitation of Nevada

Practice address

700 E Highland Ave
Nevada, MO 64772-1025

Phone

(417) 667-8889

Fax

(417) 667-7830

NPI assigned

Feb 4, 2011

Last updated

Nov 7, 2014By 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. Phillip Cody Long

Title

Cfo

Phone

(479) 464-0200

Specialties & licenses 1

Addresses

Other names 1

• Christian Health and Rehabilitation of Nevada Doing business as

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1255637443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E HIGHLAND AVE",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721025",
            "telephone_number": "417-667-8889",
            "fax_number": "417-667-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E HIGHLAND AVE",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721025",
            "telephone_number": "417-667-8889",
            "fax_number": "417-667-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTH AND REHABILITATION OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "037474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Health and Rehabilitation of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adela Casa
• Courtney D Cason, LCSW, MSW
• Challenge N' Change, Inc.
• Children's Center
• Tammy Ray Christensen, EDS LPC NCC
• Christian Health Care of Nevada, Inc.
• Chuck Owings MSW, LCSW LLC
• Clark Health Care, Inc. (Joe Clark Residential Care Home)
• Marcella Lynn Clark, LCSW
• Brandy Michelle Clayton, FNP-C

• Skilled Nursing Facility in Nevada, MO
• Providers in Nevada, 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 7, 2014; 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.