Schuyler County Nursing Home District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

041379 Issued in MO

Legal business name

SCHUYLER COUNTY NURSING HOME DISTRICT

Doing business as

Schuyler County Nursing Home District

Practice address

1306 US Highway 63
Queen City, MO 63561-2251

Phone

(660) 766-2291

Fax

(660) 766-2884

NPI assigned

Dec 8, 2006

Last updated

Jul 21, 2022By 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

Mrs. Marcia L Martin

Title

Assistant Administrator

Phone

(660) 766-2291

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Schuyler County Nursing Home District Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306906631. Details of each certification follow.

• CCN 265816 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265816

Legal name

SCHUYLER COUNTY NURSING HOME DISTRICT

Doing business as

SCHUYLER COUNTY NURSING HOME DISTRICT

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 16, 2007

Last certification

Dec 13, 2023

Beds

60

Ownership / control type

County

Organization structure

OtherNon-profit

Enrollment address

1306 US Highway 63
Queen City, MO 63561-2251

Nursing home name

SCHUYLER COUNTY NURSING HOME DISTRICT

Listed as

Schuyler County Nursing Home DistrictCCN 265816 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Jul 16, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6046.6 residents per day on average

Penalties (3 years)

1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

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

• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520

  Nursing home

  Care Compare affiliation
• Jeffrey D Davis, DO

  • Family Medicine Physician
  • Memphis, MO
  • NPI 1679558589

  Nursing home

  Care Compare affiliation
• Valena Fiscus, D.O.

  • Internal Medicine Physician
  • Kirksville, MO
  • NPI 1386087757

  Nursing home

  Care Compare affiliation
• Katherine Lynne Holbrook, DO

  • Family Medicine Physician
  • Kirksville, MO
  • NPI 1053939363

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306906631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 US HIGHWAY 63",
            "city": "QUEEN CITY",
            "state": "MO",
            "postal_code": "635612251",
            "telephone_number": "660-766-2291",
            "fax_number": "660-766-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 US HIGHWAY 63",
            "city": "QUEEN CITY",
            "state": "MO",
            "postal_code": "635612251",
            "telephone_number": "660-766-2291",
            "fax_number": "660-766-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER COUNTY NURSING HOME DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "660-766-2291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031472",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "041379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID (OSCAR)",
            "identifier": "26E193",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101495109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuyler County Nursing Home District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Kellison, COTA/L
• Tina Leslie, CCC-SLP
• Chloe O'Neill Mayhew
• Julia Ellen McNabb, D.O.
• Whitney Rigdon
• Schuyler R-I School District

• Skilled Nursing Facility in Queen City, MO
• Providers in Queen City, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.