Organization Active NPI

N & R of New Madrid LLC

Doing business as New Madrid Living Center

  • Skilled Nursing Facility
  • New Madrid, MO
National Provider Identifier
1346795416
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
043342 Issued in MO
Legal business name
N & R OF NEW MADRID LLC
Doing business as
New Madrid Living Center
Practice address
1050 Dawson Rd
New Madrid, MO 63869-1116
Phone
(573) 748-5622
Fax
(573) 748-2412
NPI assigned
Aug 18, 2016
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 043342 MO Primary

Addresses

Primary practice location

1050 Dawson Rd
New Madrid, MO 63869-1116

Mailing address

1050 Dawson Rd
New Madrid, MO 63869-1116
Phone (573) 748-5622

Other identifiers 1

IdentifierTypeStateIssuer
101459501MedicaidMO

Other names 1

  • NEW MADRID LIVING CENTER 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
O20161206001985 MO Part A Provider - Skilled Nursing Facility 1759661804 Practice locations: New Madrid, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346795416. Details of each certification follow.

Skilled nursing facility certification: CCN 265209

Legal name
N & R OF NEW MADRID LLC
Doing business as
NEW MADRID LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 25, 1983
Last certification
Oct 10, 2024
Beds
112
Ownership / control type
Corporation
Multi-facility organization
Health Systems Incorporated
Organization structure
LLCProprietary
Incorporated
Sep 1, 2016 in MO
Enrollment address
1050 Dawson Rd
New Madrid, MO 63869-1116
Nursing home name
NEW MADRID LIVING CENTER
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
New Madrid Living CenterCCN 265209 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 25, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11252.2 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Penalties (3 years)
1Fines totaling $8,824

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
26D0663614N & R of New Madrid, LLC Dba1050 Dawson Road, New Madrid, MO 63869Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kimberly J Ivie Individual W-2 Managing EmployeeAdministrator Jan 1, 1996 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Sep 1, 2016 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 50%

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1346795416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 DAWSON RD",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691116",
            "telephone_number": "573-748-5622",
            "fax_number": "573-748-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DAWSON RD",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691116",
            "telephone_number": "573-748-5622",
            "fax_number": "573-748-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF NEW MADRID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "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": "043342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101459501",
            "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": "NEW MADRID LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Madrid, MO

Sources for this page

Verify at the official NPI Registry.