Americare at Clark's Mountain Nursing Center LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

AMERICARE AT CLARK'S MOUNTAIN NURSING CENTER LLC

Doing business as

Clark's Mountain Nursing Center

Practice address

2100 Barnes St
Piedmont, MO 63957-1008

Phone

(573) 222-4297

NPI assigned

May 21, 2014

Last updated

May 21, 2014By 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

James Reiker

Title

President

Phone

(573) 471-1113

Specialties & licenses 1

Addresses

Other names 1

• Clark's Mountain Nursing Center Doing business as

Tax ID family

Americare at Clark's Mountain Nursing Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Americare at Clark's Mountain Nursing Center LLC

  dba Clark's Mountain Nursing Center

  • Skilled Nursing Facility
  • Piedmont, MO
  • NPI 1710262712
  NPD tax ID

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1558773879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BARNES ST",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BARNES ST",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571008",
            "telephone_number": "573-222-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE AT CLARK'S MOUNTAIN NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark's Mountain Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie A Adams
• Laura Ann Alcorn
• Brianna Cheyenne Allen
• Americare at Clark's Mountain Nursing Center LLC (Clark's Mountain Nursing Center)
• Fernando Asdrubal Arzola, MD
• Tori Ann Ball
• Rayme Elise Batton
• Behavioral Health Consultanst, LLP

• Rehabilitation Clinic/Center in Piedmont, MO
• Providers in Piedmont, MO by specialty
• Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.