Active NPI
NHC Healthcare-Desloge LLC
- Skilled Nursing Facility
- Desloge, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 032609
- Legal business name
- NHC HEALTHCARE-DESLOGE LLC
- Practice address
- 801 Brim St
Desloge, MO 63601-3441 - Phone
- (573) 431-0223
- NPI assigned
- Jun 18, 2006
- Last updated
- Feb 20, 2008
- Organization subpart
- Yes
- Parent organization
- NATIONAL HEALTHCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mel Rector
- Title
- Manager
- Phone
- (636) 946-3677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 032609 | MO | Primary |
Addresses
Primary practice location
801 Brim St
Desloge, MO 63601-3441
Mailing address
801 Brim St
Desloge, MO 63601-3441
Phone (573) 431-0223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111229000719 | MO | Part A Provider - Skilled Nursing Facility | 8022284793 | Practice locations: Desloge, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629013172. Details of each certification follow.
Skilled nursing facility certification: CCN 265158
- Legal name
- NHC HEALTHCARE-DESLOGE LLC
- Doing business as
- PROFESSIONAL HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 15, 1982
- Last certification
- Apr 24, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- NATIONAL HEALTHCARE CORPORATION
- Organization structure
- LLC
- Incorporated
- Oct 14, 1999 in MO
- Enrollment address
- 801 Brim Street
Desloge, MO 63601-3441 - Nursing home name
- NHC HEALTHCARE, DESLOGE
- Affiliated entity
- NATIONAL HEALTHCARE CORPORATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- NHC Healthcare, Desloge
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 15, 1982
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- National Healthcare Corporation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0674287 | NHC Desloge Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- National Healthcare Corporation
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3488 Jeffco Blvd
Ste 102
Arnold, MO 63010
Phone (636) 464-5439
214 W 5th St
Ste De
Joplin, MO 64801
Phone (417) 782-2197
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert M Ussery | Operational/Managerial Control | Jan 1, 2017 | |
| Edward Burke | Operational/Managerial Control | Nov 13, 2018 | |
| Adp of the SNF | Nov 13, 2018 | ||
| Indirect Ownership Interest | Nov 8, 2024 | 4.8% | |
| National Health Corporation | 5% Or Greater Indirect Ownership Interest | Feb 1, 2000 | 6.6% |
| Adp of the SNF | Apr 14, 2025 | ||
| Jordan Blair Riddle | Operational/Managerial Control | Jun 14, 2021 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Melvin Rector | Corporate Officer | Feb 1, 2000 | |
| Operational/Managerial Control | Feb 1, 2000 | ||
| Managing Control - Governing Body | Feb 1, 2000 | ||
| Blackrock Inc | 5% Or Greater Indirect Ownership Interest | Mar 20, 2019 | 12.6% |
| Adp of the SNF | Jan 20, 2010 | ||
| Becca Nixon | Operational/Managerial Control | May 14, 2024 | |
| Morgan Stanley | 5% Or Greater Indirect Ownership Interest | Nov 8, 2024 | 5.3% |
| Adp of the SNF | Feb 1, 2000 | ||
| Vanguard Group Inc | 5% Or Greater Indirect Ownership Interest | Mar 27, 2017 | 9% |
| Adp of the SNF | Nov 30, 2006 | ||
| Vicki L Dodson | Operational/Managerial Control | Jun 1, 2019 | |
| Adp of the SNF | Jun 1, 2019 | ||
| Adp of the SNF | Oct 17, 1991 | ||
| NHC-Op LP | 5% Or Greater Direct Ownership Interest | Feb 1, 2000 | 99% |
| Operational/Managerial Control | Feb 1, 2000 | ||
| National Healthcare Corporation | 5% Or Greater Indirect Ownership Interest | Feb 1, 2000 | 98% |
| Operational/Managerial Control | Feb 1, 2000 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| NHC/Delaware Inc | Direct Ownership Interest | Feb 1, 2000 | 1% |
| Dimensional Fund Advisors LP | 5% Or Greater Indirect Ownership Interest | Mar 7, 2023 | 6% |
| Brian Kidd | Operational/Managerial Control | Jan 1, 2017 | |
| Adp of the SNF | Jan 1, 2017 |
Owners & managing parties with NPI records 23
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fredericktown, MO
- NPI 1306885157
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Cookeville, TN
- NPI 1174559462
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Lawrenceburg, TN
- NPI 1306883749
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
dba NHC HealthCare, Oak Ridge
- Skilled Nursing Facility
- Oak Ridge, TN
- NPI 1598703076
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Murfreesboro, TN
- NPI 1699720029
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
dba NHC HealthCare, Sumter
- Skilled Nursing Facility
- Sumter, SC
- NPI 1760407910
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Home Health Agency
- Aiken, SC
- NPI 1003846734
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Milan, TN
- NPI 1124043914
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Springfield, TN
- NPI 1255356143
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Greenwood, SC
- NPI 1386689529
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Crawfordville, FL
- NPI 1417987140
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Home Health Agency
- Athens, TN
- NPI 1578588455
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 100
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital
- Maryland Heights, MO
- NPI 1386309250
National Healthcare Corporation, NHC-Op LP
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1437574183
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Joplin, MO
- NPI 1629013206
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Kennett, MO
- NPI 1740228204
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba Macon Health Care Center
- Skilled Nursing Facility
- Macon, MO
- NPI 1215238589
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Maryland Heights, MO
- NPI 1760420368
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba Osage Beach Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Osage Beach, MO
- NPI 1578864849
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba Springfield Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Springfield, MO
- NPI 1285935551
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Saint Charles, MO
- NPI 1912932534
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- West Plains, MO
- NPI 1336174960
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba Osage Beach Center for Behavioral Health
- Psychiatric Hospital
- Osage Beach, MO
- NPI 1790115939
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Murfreesboro, TN
- NPI 1144245135
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Occupational Therapist
- Desloge, MO
- NPI 1275936288
-
- Internal Medicine Physician
- Fredericktown, MO
- NPI 1306885157
-
- Occupational Therapist
- Desloge, MO
- NPI 1609908102
-
- Family Medicine Physician
- Potosi, MO
- NPI 1578056800
-
- Occupational Therapist
- Desloge, MO
- NPI 1932280484
-
- Speech-Language Pathologist
- Farmington, MO
- NPI 1619420965
-
- Occupational Therapy Assistant
- Desloge, MO
- NPI 1265706618
-
- Occupational Therapy Assistant
- Desloge, MO
- NPI 1760929038
-
- Occupational Therapist
- Jonesboro, AR
- NPI 1548687213
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1629013172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BRIM ST",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636013441",
"telephone_number": "573-431-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BRIM ST",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636013441",
"telephone_number": "573-431-0223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHC HEALTHCARE-DESLOGE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
"enumeration_date": "2006-06-18",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "RECTOR",
"authorized_official_first_name": "MEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "636-946-3677"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "032609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desloge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.