Loma Linda Health Care Center, L.L.C

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LOMA LINDA HEALTH CARE CENTER, L.L.C

Practice address

1600 E Rollins St
Moberly, MO 65270-2478

Phone

(660) 263-6887

Fax

(660) 263-8823

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Richard J Destefane

Title

President

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1629370200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261528",
            "telephone_number": "314-543-3800",
            "fax_number": "314-543-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROLLINS ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702478",
            "telephone_number": "660-263-6887",
            "fax_number": "660-263-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA HEALTH CARE CENTER, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Michael Lindsay, PHARMD
• Janiece Kay Linneman, LPC
• Mariah Michelle Littleton
• Loma Linda Health Care
• Betty Marie Long, MSN, DNP, FPMHNP
• Kimm Christine Long, ACCNS-AG
• Tiffany R Lopez, CPS
• Kenneth S Lorenz, MA, LMFT
• Tracie Crawford Lykins, PHARMD

• Skilled Nursing Facility in Moberly, MO
• Providers in Moberly, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.