Holden Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

105662 Issued in MO

Legal business name

HOLDEN MANOR, INC.

Doing business as

Holden Manor Care Center

Practice address

2005 S Lexington St
Holden, MO 64040-1610

Phone

(816) 732-4138

Fax

(816) 732-4344

NPI assigned

Sep 13, 2006

Last updated

Nov 23, 2016By 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

Benjamin C. Scheulen

Title

Ceo

Phone

(573) 556-6240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holden Manor Care Center Doing business as

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

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1386749588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S LEXINGTON ST",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640401610",
            "telephone_number": "816-732-4138",
            "fax_number": "816-732-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S LEXINGTON ST",
            "city": "HOLDEN",
            "state": "MO",
            "postal_code": "640401610",
            "telephone_number": "816-732-4138",
            "fax_number": "816-732-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDEN MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHEULEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-556-6240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "105662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106937709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holden Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart in Hands LLC
• Mary Marie Hoenshell, OTA/L
• Holden Family Care, LLC
• Holden Family Care, LLC
• Holden Manor Health & Rehabilitation LLC
• Holden Public School District R-III
• Holly Nicole Hoover, LPN
• Teri N Hughes, PTA
• Veronica Immethun, MS, CCC-SLP
• Shelly Maddox

• Skilled Nursing Facility in Holden, MO
• Providers in Holden, 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 Nov 23, 2016; 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.