Christian Health Care of Lebanon North, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032279 Issued in MO

Legal business name

CHRISTIAN HEALTH CARE OF LEBANON NORTH, INC.

Practice address

596 Morton Rd
Lebanon, MO 65536-3648

Phone

(417) 532-9173

Fax

(417) 532-8223

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Stayton

Title

President

Phone

(417) 891-9939

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1477646552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 1ST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564504",
            "telephone_number": "479-464-0200",
            "fax_number": "479-464-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 MORTON RD",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363648",
            "telephone_number": "417-532-9173",
            "fax_number": "417-532-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTH CARE OF LEBANON NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "STAYTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-891-9939"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101489409",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip W Caster, MD
• Gregory William Chaffin
• Ashley Cheney
• Angela Nicole Childress, DPT
• Chiropractic Pain Relief Centers, P.C
• Christian Health Care of Lebanon South, Inc.
• Savannah A Clark, CRNA
• Rebecca N Claxton, DNP, FNP-BC, RN
• Daniel Allen Coleman, LMT, CFT
• Kaelin Collison, OTR/L

• All providers in Lebanon, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.