Shady Lawn Living Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040355 Issued in MO

Legal business name

SHADY LAWN LIVING CENTER, INC

Doing business as

Shady Lawn Living Center

Practice address

13277 State Route D
Savannah, MO 64485-9431

Phone

(816) 324-5991

Fax

(816) 324-3556

NPI assigned

Jul 27, 2012

Last updated

Oct 5, 2015By 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

Ms. Charlene Osby

Title

Vice President

Phone

(641) 472-7482

Specialties & licenses 1

Addresses

Other names 1

• Shady Lawn Living Center Doing business as

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1295081222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 277",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644859431",
            "telephone_number": "816-324-5991",
            "fax_number": "816-324-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13277 STATE ROUTE D",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644859431",
            "telephone_number": "816-324-5991",
            "fax_number": "816-324-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY LAWN LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "OSBY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "641-472-7482",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "040355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shady Lawn Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Helen Machelle Skinner, DNP, AGPCNP-BC
• Tiffany L Sterner
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• The Progressive Health Care Group, Inc. (Shady Lawn RCF)

• Skilled Nursing Facility in Savannah, MO
• Providers in Savannah, 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 Oct 5, 2015; 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.