Benchmark Healthcare of Loma Linda LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PENDING Issued in MO

Legal business name

BENCHMARK HEALTHCARE OF LOMA LINDA LLC

Practice address

1600 E Rollins St
Moberly, MO 65270-2478

Phone

(660) 263-6887

Fax

(660) 263-8823

NPI assigned

Feb 28, 2011

Last updated

Nov 8, 2013By 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

Mr. John M Sells

Title

Manager

Phone

(636) 449-1795

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1417255456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17826 EDISON AVE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051262",
            "telephone_number": "636-449-1794",
            "fax_number": "636-536-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROLLINS ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702478",
            "telephone_number": "660-263-6887",
            "fax_number": "660-263-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK HEALTHCARE OF LOMA LINDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-449-1795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102385002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Arter, HIS
• Aspire Senior Living Moberly, LLC (Aspire Senior Living Moberly)
• Roian Marie Baalman, MED, LPC
• Janet Baxter
• Holly B. Bell, LPC
• Michael W Berry, DDS
• Bethany Billups
• Lindi B Binder, PA-C
• Leeanne Block, B.S.
• Danny R. Boardsen, OD PC

• Skilled Nursing Facility in Moberly, MO
• Providers in Moberly, 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 8, 2013; 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.