NPIMap

Organization Active NPI

N & R of Maysville, LLC

Doing business as Sunset Home

  • Skilled Nursing Facility
  • Maysville, MO
National Provider Identifier
1285682633
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032294 Issued in MO
Legal business name
N & R OF MAYSVILLE, LLC
Doing business as
Sunset Home
Practice address
1201 S Polk St
Maysville, MO 64469-4028
Phone
(816) 449-2158
Fax
(816) 449-5216
NPI assigned
May 5, 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 032294 MO Primary

Addresses

Primary practice location

1201 S Polk St
Maysville, MO 64469-4028

Mailing address

1201 S Polk St
Maysville, MO 64469-4028
Phone (816) 449-2158

Other identifiers 1

IdentifierTypeStateIssuer
101496602MedicaidMO

Other names 1

  • Sunset Home 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
O20060614000326 MO Part A Provider - Skilled Nursing Facility 4688686504 Practice locations: Maysville, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285682633. Details of each certification follow.

Skilled nursing facility certification: CCN 265745

Legal name
N & R OF MAYSVILLE, LLC
Doing business as
SUNSET HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2002
Last certification
Aug 14, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
May 1, 2006 in MO
Enrollment address
1201 S Polk St
Maysville, MO 64469-4028
Nursing home name
SUNSET HOME
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunset HomeCCN 265745 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6027.9 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain

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
26D0694360Sunset Home1201 S Polk, Maysville, MO 64469Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Brenda J Moore Individual W-2 Managing EmployeeAdministrator Apr 25, 2022 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Apr 13, 2015 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest May 1, 2006 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest May 1, 2006 50%
Corporate Director May 1, 2006
Health Systems, Inc. Organization, Sikeston, MO Operational/Managerial Control May 1, 2006

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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1285682633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694028",
            "telephone_number": "816-449-2158",
            "fax_number": "816-449-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694028",
            "telephone_number": "816-449-2158",
            "fax_number": "816-449-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF MAYSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "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": "032294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101496602",
            "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": "Sunset Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maysville, MO

Sources for this page

Verify at the official NPI Registry.