NPIMap

Organization Active NPI

Americare at Heritage Hall Nursing Center, LLC

Doing business as Heritage Hall Nursing Center

  • Skilled Nursing Facility
  • Centralia, MO
National Provider Identifier
1295019545
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AMERICARE AT HERITAGE HALL NURSING CENTER, LLC
Doing business as
Heritage Hall Nursing Center
Practice address
750 E Highway 22
Centralia, MO 65240-1146
Phone
(573) 682-5551
NPI assigned
Oct 5, 2011
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Kyle Timothy Schade
Title
President
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

750 E Highway 22
Centralia, MO 65240-1146

Mailing address

750 E Highway 22
Centralia, MO 65240-1146

Other names 1

  • Heritage Hall Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000368 MO Part A Provider - Skilled Nursing Facility 4688841893 Practice locations: Centralia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295019545. Details of each certification follow.

Skilled nursing facility certification: CCN 265385

Legal name
AMERICARE AT HERITAGE HALL NURSING CENTER, LLC
Doing business as
HERITAGE HALL NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Jun 14, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Americare
Organization structure
LLCProprietary
Incorporated
May 31, 2011 in DE
Enrollment address
750 E Highway 22
Centralia, MO 65240-1146
Nursing home name
HERITAGE HALL NURSING CENTER
Affiliated entity
AMERICARE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Hall Nursing CenterCCN 265385 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6042.8 residents per day on average
Chain
Americare Senior Living23 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Clay Crosson Individual Contracted Managing Employee Oct 29, 2001 100%
Kyle Schade Individual Corporate OfficerPresident Mar 1, 2021
James Edward Reiker Individual Corporate Officer Jan 1, 2012
HWJ LLC Organization, Sikeston, MO Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Americare Systems, Inc. Organization, Sikeston, MO For-profit Operational/Managerial Control Jan 1, 2012
Christina Redmond Individual W-2 Managing EmployeeAdministrator Jan 1, 2021 100%
William Montgomery Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 33.33%
Henley Montgomery Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 33.34%
Julianna Ford Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2012 33.33%

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 3

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 6

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": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1295019545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E HIGHWAY 22",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E HIGHWAY 22",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401146",
            "telephone_number": "573-682-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE AT HERITAGE HALL NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hall Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, MO

Sources for this page

Verify at the official NPI Registry.