NPIMap

Organization Active NPI

N & R of Troy LLC

  • Skilled Nursing Facility
  • Troy, MO
National Provider Identifier
1285646208
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
035105 Issued in MO
Legal business name
N & R OF TROY LLC
Practice address
200 Thompson Drive
Troy, MO 63379-2308
Phone
(636) 528-8446
Fax
(636) 528-4435
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Carla Hedrick, CFO
Title
Cfo
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 035105 MO Primary

Addresses

Primary practice location

200 Thompson Drive
Troy, MO 63379-2308

Mailing address

200 Thompson Dr
Troy, MO 63379-2308
Phone (636) 528-8446

Other identifiers 1

IdentifierTypeStateIssuer
101478709MedicaidMO

Other names 1

  • Troy Manor Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 199.119.81.30:8291 Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000292 MO Part A Provider - Skilled Nursing Facility 9931286374 Practice locations: Troy, MO

Skilled nursing facility certification: CCN 265702

Legal name
N & R OF TROY LLC
Doing business as
TROY MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 22, 2000
Last certification
Apr 9, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Multi-facility organization
HEALTH SYSTEMS
Most recent change of ownership
Jan 1, 2008
Organization structure
LLCProprietary
Incorporated
Jan 1, 2008 in MO
Enrollment address
200 Thompson Dr
Troy, MO 63379-2308
Nursing home name
TROY MANOR
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Troy ManorCCN 265702
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 22, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13099.5 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Penalties (3 years)
4Fines totaling $104,685

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0662276Troy Manor LLC200 Thompson Dr, Troy, MO 63379Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Janice Conover Individual W-2 Managing EmployeeAdministrator Jun 1, 2004 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Jan 1, 2008 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Jan 1, 2008 50%
Operational/Managerial Control Jan 1, 2008
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Jan 1, 2008 50%

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1285646208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 THOMPSON DR",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792308",
            "telephone_number": "636-528-8446",
            "fax_number": "636-528-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THOMPSON DRIVE",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792308",
            "telephone_number": "636-528-8446",
            "fax_number": "636-528-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF TROY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-481-9625",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "035105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101478709",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "199.119.81.30:8291",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 w 108th ter",
            "city": "overland park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Troy Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.