Organization Active NPI

N & R of Camdenton, Inc.

  • Skilled Nursing Facility
  • Camdenton, MO
National Provider Identifier
1477549822
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031410 Issued in MO
Legal business name
N & R OF CAMDENTON, INC.
Practice address
2042 N Business Route 5
Camdenton, MO 65020-2611
Phone
(573) 346-5654
Fax
(573) 346-7472
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Carla Hedrick
Title
Cfo
Phone
(573) 481-9625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031410 MO Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

2042 N Business Route 5
Camdenton, MO 65020-2611

Mailing address

2042 N Business Route 5
Camdenton, MO 65020-2611
Phone (573) 346-5654

Other identifiers 2

IdentifierTypeStateIssuer
101481406MedicaidMO
17171989OtherMOSTATE ID

Other names 1

  • Camdenton Windsor Estates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000926 MO Part A Provider - Skilled Nursing Facility 3678665114 Practice locations: Camdenton, MO

Skilled nursing facility certification: CCN 265091

Legal name
N & R OF CAMDENTON, INC
Doing business as
CAMDENTON WINDSOR ESTATES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 19, 1970
Last certification
Apr 10, 2025
Beds
82
Ownership / control type
Corporation
Multi-facility organization
HEALTH SYSTEMS INC
Organization structure
CorporationProprietary
Incorporated
Nov 1, 1999 in MO
Enrollment address
2042 N Business Route 5
Camdenton, MO 65020-2611
Nursing home name
CAMDENTON WINDSOR ESTATES
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Camdenton Windsor EstatesCCN 265091
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 19, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8255.1 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0445823Camdenton Windsor Estates2042 N Business Hwy 5, Camdenton, MO 65020Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Charlotte a Stutts Individual Corporate OfficerSecretary Nov 1, 1999 50%
Timothy O Drake Individual Corporate DirectorMember Nov 1, 1999 50%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Nov 1, 1999 50%
Corporate Director Nov 1, 1999
Theresa Knight Individual W-2 Managing Employee Sep 23, 2002 100%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Nov 1, 1999 50%
Corporate Director Nov 1, 1999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1477549822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 N BUSINESS ROUTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650202611",
            "telephone_number": "573-346-5654",
            "fax_number": "573-346-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 N BUSINESS ROUTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650202611",
            "telephone_number": "573-346-5654",
            "fax_number": "573-346-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF CAMDENTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-481-9625"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031410",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101481406",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "17171989",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Camdenton Windsor Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camdenton, MO

Sources for this page

Verify at the official NPI Registry.