NPIMap

Organization Active NPI

Linn Community Skilled Care, LLC

  • Skilled Nursing Facility
  • Linn, MO
National Provider Identifier
1487066650
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
042107 Issued in MO
Legal business name
LINN COMMUNITY SKILLED CARE, LLC
Practice address
196 Highway CC
Linn, MO 65051-3500
Phone
(573) 897-0700
Fax
(573) 897-0400
NPI assigned
May 22, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Enrique De la Piedra, MDNPI 1306258561
Title
Owner
Phone
(573) 897-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 042107 MO Primary

Addresses

Primary practice location

196 Highway CC
Linn, MO 65051-3500

Mailing address

196 Highway CC
Linn, MO 65051-3500
Phone (573) 897-0700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1487066650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 HIGHWAY CC",
            "city": "LINN",
            "state": "MO",
            "postal_code": "650513500",
            "telephone_number": "573-897-0700",
            "fax_number": "573-897-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 HIGHWAY CC",
            "city": "LINN",
            "state": "MO",
            "postal_code": "650513500",
            "telephone_number": "573-897-0700",
            "fax_number": "573-897-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COMMUNITY SKILLED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "DE LA PIEDRA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-897-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "042107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linn, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.