Big Spring Nursing and Rehab LLC
Organization Active NPI Skilled Nursing Facility · Humansville, MO
NPI 1689336166 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1689336166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BIG SPRING NURSING AND REHAB LLC
- Practice address
- 202 E Mill St
Humansville, MO 65674-8507 - Phone
- (417) 754-8711
- NPI assigned
- Oct 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Bernard David Perlow
- Title
- Authorized Person
- Phone
- (443) 928-3278
Practitioners 4
-
Steven Michael Cicero, D.O.
-
George W Mathews, DO
-
Alicia Marie Bean, M.D.
-
Simon Fensterszaub, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0447246 | Big Spring Nursing and Rehab LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
202 E Mill St
Humansville, MO 65674-8507
Mailing address
110 Rockaway Tpke Ste 6
Lawrence, NY 11559-1626
Other names
- Big Spring Care Center for Rehab and Healthcare
Other providers in Humansville, MO
- Big Spring Opco, LLC
- Big Spring Operations Management LLC
- Robin L Bobinmyer
- Audra Bowling
- Citizens Memorial Healthcare
All providers in Humansville, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.