Servcare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032812 Issued in MO

Legal business name

SERVCARE, INC

Doing business as

Ozark Riverview Manor

Practice address

1200 W Hall St
Ozark, MO 65721-9103

Phone

(417) 581-6025

Fax

(417) 581-4652

NPI assigned

Sep 28, 2006

Last updated

Oct 19, 2012By 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

Dean T Tlustos

Title

President/Administrator

Phone

(417) 581-6025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ozark Riverview Manor Doing business as

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1447341763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657210157",
            "telephone_number": "417-581-6025",
            "fax_number": "417-581-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W HALL ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219103",
            "telephone_number": "417-581-6025",
            "fax_number": "417-581-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "TLUSTOS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "417-581-6025"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103060505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Riverview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betty A. Schlesing, PSY. D
• Emily Schoeberl
• Richard Augustus Seagrave III, MD
• Carla Segress
• Michael Trent Selsor, PT, DPT
• Servcare, Inc.
• Servcare, Inc.
• Julie L Settle, MD
• Michael Paul Sexton, LPC
• Paula Gene Sexton, LCSW

• Skilled Nursing Facility in Ozark, MO
• Providers in Ozark, 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 Oct 19, 2012; 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.