The Baptist Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE BAPTIST HOME

Doing business as

Baptist Homes of Adrian

Practice address

402 W 1St St
Adrian, MO 64720-9277

Phone

(816) 297-8901

Fax

(816) 297-8902

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By 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

Rodney Harrison

Title

President/Ceo

Phone

(573) 636-0400

Specialties & licenses 1

Addresses

Other names 1

• Baptist Homes of Adrian Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437913993. Details of each certification follow.

• CCN 265887 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265887

Legal name

THE BAPTIST HOME

Doing business as

BAPTIST HOMES OF ADRIAN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 5, 2024

Last certification

Jun 5, 2024

Beds

38

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

402 W 1St St
Adrian, MO 64720-9277

Nursing home name

BAPTIST HOMES OF ADRIAN

Other NPIs with the same Medicare PAC ID 2

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

• The Baptist Home

  dba Baptist Homes of Vandalia

  • Skilled Nursing Facility
  • Vandalia, MO
  • NPI 1417735648

  7012312911

  Same PAC ID
• The Baptist Home

  • Skilled Nursing Facility
  • Ironton, MO
  • NPI 1528936622

  7012312911

  Same PAC ID

Listed as

Baptist Homes of AdrianCCN 265887 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 5, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3831.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

The Baptist Home8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• The Baptist Home

  dba Baptist Homes of Arcadia Valley

  • Assisted Living Facility
  • Ironton, MO
  • NPI 1023871118
  NPD tax ID
• The Baptist Home

  dba Baptist Homes of Shelbina

  • Skilled Nursing Facility
  • Shelbina, MO
  • NPI 1164357265
  NPD tax ID
• The Baptist Home

  dba Baptist Homes of Smithville

  • Skilled Nursing Facility
  • Smithville, MO
  • NPI 1316701881
  NPD tax ID
• The Baptist Home

  dba Baptist Homes of Vandalia

  • Skilled Nursing Facility
  • Vandalia, MO
  • NPI 1417735648
  NPD tax ID
• The Baptist Home

  dba Baptist Homes of Ashland

  • Skilled Nursing Facility
  • Ashland, MO
  • NPI 1417795758
  NPD tax ID
• The Baptist Home

  • Skilled Nursing Facility
  • Ironton, MO
  • NPI 1528936622
  NPD tax ID
• The Baptist Home

  dba Baptist Homes of Ozark

  • Assisted Living Facility
  • Ozark, MO
  • NPI 1902660467
  NPD tax ID

Locations

All disclosed owners & managing parties 26

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

Owners & managing parties with NPI records 2

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

• The Baptist Home

  dba Baptist Homes of Vandalia

  • Skilled Nursing Facility
  • Vandalia, MO
  • NPI 1417735648

  5% Or Greater Direct Ownership Interest

  CMS ownership
• The Baptist Home

  • Skilled Nursing Facility
  • Ironton, MO
  • NPI 1528936622

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 1

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

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 Vandalia

  • Skilled Nursing Facility
  • Vandalia, MO
  • NPI 1417735648

  Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• The Baptist Home

  dba Baptist Homes of Vandalia

  • Skilled Nursing Facility
  • Vandalia, MO
  • NPI 1417735648

  The Baptist Home

  CMS ownership

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.

• Steven Michael Cicero, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1407211873
  NPD (past)

Affiliated clinicians 2

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

• James L Miller, DO

  • Family Medicine Physician
  • Butler, MO
  • NPI 1568443935

  Nursing home

  Care Compare affiliation
• James R Wirkkula, D.O.

  • Family Medicine Physician
  • Holden, MO
  • NPI 1861405342

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1437913993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651020397",
            "telephone_number": "573-556-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W 1ST ST",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647209277",
            "telephone_number": "816-297-8901",
            "fax_number": "816-297-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAPTIST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "573-636-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Homes of Adrian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Schrock, PTA
• Spectrum Partners L.L.C. (Crystal Manor of Adrian)
• Tammy Michelle Stone
• Shelby Strauch, MSN, APRN, FNP-C
• Debra Jean Stuntebeck
• Laura J Thiem, RN, FNP-BC, CNS-BC
• Georgia Underwood
• Liberty D Underwood, PTA
• Willow Creek Group Home
• Willow Creek Group Home, Inc.

• Skilled Nursing Facility in Adrian, MO
• Providers in Adrian, 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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.