Organization Active NPI

Steelville Community Services Inc.

Doing business as Gibbs Care Center

  • Skilled Nursing Facility
  • Steelville, MO
National Provider Identifier
1669457701
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STEELVILLE COMMUNITY SERVICES INC.
Doing business as
Gibbs Care Center
Practice address
311 N Spring St
Steelville, MO 65565-5089
Phone
(573) 775-5815
Fax
(573) 775-4072
NPI assigned
Dec 13, 2005
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Mr. Larry G. Howdeshell Jr.
Title
Administrator
Phone
(573) 775-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

311 N Spring St
Steelville, MO 65565-5089

Mailing address

311 N Spring St
Steelville, MO 65565-5089
Phone (573) 775-5815

Other identifiers 1

IdentifierTypeStateIssuer
101486900MedicaidMO

Other names 1

  • Gibbs Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1669457701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N SPRING ST",
            "city": "STEELVILLE",
            "state": "MO",
            "postal_code": "655655089",
            "telephone_number": "573-775-5815",
            "fax_number": "573-775-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SPRING ST",
            "city": "STEELVILLE",
            "state": "MO",
            "postal_code": "655655089",
            "telephone_number": "573-775-5815",
            "fax_number": "573-775-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELVILLE COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "HOWDESHELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-775-5815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101486900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibbs Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steelville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.