NPIMap

Organization Active NPI

Sylvia G. Thompson Residence Center

  • Skilled Nursing Facility
  • Sedalia, MO
National Provider Identifier
1366491656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030110 Issued in MO
Legal business name
SYLVIA G. THOMPSON RESIDENCE CENTER
Practice address
3333 W 10TH St
Sedalia, MO 65301-2113
Phone
(660) 826-2118
Fax
(660) 827-5704
NPI assigned
May 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pamela Jean Osburn, R.N.
Title
Administrator
Phone
(660) 826-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030110 MO Primary

Addresses

Primary practice location

3333 W 10TH St
Sedalia, MO 65301-2113

Mailing address

3333 W 10TH St
Sedalia, MO 65301-2113
Phone (660) 826-2118

Other identifiers 2

IdentifierTypeStateIssuer
410222-1-159-8051OtherMOUI NUMBER
14893355OtherMOSTATE NUMBER

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
26D0886697Sylvia G Thompson Residence Center Inc3333 West 10TH Street, Sedalia, MO 65301Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sylvia G Thompson Residence Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366491656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012113",
            "telephone_number": "660-826-2118",
            "fax_number": "660-827-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012113",
            "telephone_number": "660-826-2118",
            "fax_number": "660-827-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIA G. THOMPSON RESIDENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSBURN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-826-2118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UI NUMBER",
            "identifier": "410222-1-159-8051",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NUMBER",
            "identifier": "14893355",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.