N & R of Charleston LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

039328 Issued in MO

Legal business name

N & R OF CHARLESTON LLC

Doing business as

Charleston Manor

Practice address

1220 E Marshall St
Charleston, MO 63834-1349

Phone

(573) 683-3721

Fax

(573) 683-3029

NPI assigned

Jul 11, 2011

Last updated

Oct 23, 2025By 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

Carla Hedrick, CFO

Title

Cfo

Phone

(573) 481-9625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charleston Manor Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1326336470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E MARSHALL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341349",
            "telephone_number": "573-683-3721",
            "fax_number": "573-683-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E MARSHALL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341349",
            "telephone_number": "573-683-3721",
            "fax_number": "573-683-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "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": "039328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101451904",
            "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": "CSV",
            "contentTypeDescription": "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": "Charleston Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi County Ambulance District
• Mississippi County Health Department
• Mississippi County Health Department
• Missouri Delta Medical Center (Community Care Center)
• N & R Charleston LLC
• Benjamin Paynter
• Ronald Lee Petersen, DDS
• Symone Pickens-Owens
• Paris Delani Robbins, RD,LD
• Robert Lee Robbins Jr., D.O.

• Skilled Nursing Facility in Charleston, MO
• Providers in Charleston, 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 23, 2025; 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.