NPIMap

Organization Active NPI

The Baptist Home

Doing business as Baptist Homes of Vandalia

  • Skilled Nursing Facility
  • Vandalia, MO
National Provider Identifier
1417735648
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE BAPTIST HOME
Doing business as
Baptist Homes of Vandalia
Baptist Homes, Tri-County
Practice address
601 N Galloway Rd
Vandalia, MO 63382-1252
Phone
(573) 594-6467
NPI assigned
Sep 19, 2023
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BAPTIST HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Troy Dean Culbertson
Title
Cfo
Phone
(573) 546-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

601 N Galloway Rd
Vandalia, MO 63382-1252

Mailing address

400 E High St Ste 600
Jefferson City, MO 65101-3215
Phone (417) 237-9113

Other names 2

  • Baptist Homes of Vandalia Doing business as
  • Baptist Homes, Tri-County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321001347 MO Part A Provider - Skilled Nursing Facility 7012312911 Practice locations: Vandalia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417735648. Details of each certification follow.

Skilled nursing facility certification: CCN 265638

Legal name
THE BAPTIST HOME
Doing business as
BAPTIST HOMES, TRI-COUNTY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1996
Last certification
Feb 8, 2024
Beds
90
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Baptist Homes Healthcare Ministries
Most recent change of ownership
Sep 1, 2023
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1922 in MO
Enrollment address
601 N Galloway Rd
Vandalia, MO 63382-1252
Nursing home name
BAPTIST HOMES, TRI-COUNTY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Baptist Homes, Tri-CountyCCN 265638 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9060.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
The Baptist Home8 organizations share this tax ID, including this one
Part of
The Baptist Home

Other organizations with this tax ID 7

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

Locations

400 E High St
Ste 600
Jefferson City, MO 65101

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Barbara Gaines Individual Corporate DirectorBoard Member Nov 1, 2021
Derrick Good Individual Corporate DirectorBoard Member Nov 1, 2021
Alan Brock Individual Corporate DirectorBoard Member Nov 1, 2021
Brandy Parker Individual Corporate OfficerVP Healthcare Administration Apr 4, 2022
Kevin Sullivan Individual Corporate DirectorBoard Member Nov 1, 2021
Leah Holdsworth Individual Corporate DirectorBoard Member Feb 1, 2022
Charles McKay Individual Corporate DirectorBoard Member Sep 1, 2023
Troy D Culbertson Individual Corporate OfficerCfo Nov 1, 2023
William de Noon Individual Corporate DirectorBoard Member Nov 1, 2021
Stuart a Braams Individual Corporate OfficerCoo Jan 10, 2022
W-2 Managing EmployeeCoo Jan 10, 2022
The Baptist Home Organization, Jefferson City, MO Chain home office Operational/Managerial Control Sep 1, 2023
Brad Newbold Individual Corporate DirectorBoard Member Nov 1, 2021
Mike Larson Individual Corporate DirectorBoard Member Nov 1, 2021
Rodney a Harrison Individual Corporate OfficerPresident Apr 3, 2020
Allan Lane Individual Corporate DirectorBoard Member Nov 1, 2023
Leidra Stunkel Individual Corporate DirectorBoard Member Nov 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Homes of AdrianAdrian, MO, CCN 265887 Skilled nursing facility 5% Or Greater Direct Ownership Interest Aug 23, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • The Baptist Home

    dba Baptist Homes of Adrian

    • Skilled Nursing Facility
    • Adrian, MO
    • NPI 1437913993

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1417735648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E HIGH ST STE 600",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013215",
            "telephone_number": "417-237-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N GALLOWAY RD",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821252",
            "telephone_number": "573-594-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAPTIST HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BAPTIST HOME",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "CULBERTSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-546-0338"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Homes of Vandalia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Homes, Tri-County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vandalia, MO

Sources for this page

Verify at the official NPI Registry.