N & R of Seymour, Inc.
Organization Active NPI Skilled Nursing Facility · Seymour, MO
NPI 1689660987 · NPPES record last updated Nov 4, 2011
Key facts
- NPI
- 1689660987
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 029208 (MO)
- Legal business name
- N & R OF SEYMOUR, INC.
- Practice address
- 851 W Thoroughfare St
Seymour, MO 65746-8767 - Phone
- (417) 935-2992
- Fax
- (417) 935-2321
- NPI assigned
- Sep 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James C Lincoln
- Title
- Shareholder
- Phone
- (573) 746-7100
Practitioners 1
-
Arthur Joe Cohn, DO
Affiliated clinicians 1
-
Arthur Joe Cohn, DO
Medicare Care Compare: Nursing home
- Listed as
- Glenwood Rehabilitation & Health Care Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 3, 1995
- Medicare certification status
- Active
- Certified beds
- 60 · 52.9 residents per day on average
- Chain
- James & Judy Lincoln
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0666211 | Glenwood Healthcare Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265608
- Legal name
- N & R OF SEYMOUR, INC.
- Doing business as
- GLENWOOD HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 3, 1995
- Last certification
- Apr 25, 2024
- Beds
- 60
- Ownership / control type
- Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Aug 1, 1998 in MO
- Enrollment address
- 851 W Thoroughfare St
Seymour, MO 65746-8767 - Nursing home name
- GLENWOOD REHABILITATION & HEALTH CARE CENTER
- Affiliated entity
- JAMES & JUDY LINCOLN
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Brandon Bysor |
Corporate Director |
Apr 25, 2022 | 50% |
| Charlotte a Stutts |
Corporate Officer |
Aug 1, 1998 | 50% |
| Timothy O Drake |
Corporate Officer |
Apr 25, 2022 | 50% |
| James C Lincoln |
5% Or Greater Direct Ownership Interest | Aug 1, 1998 | 50% |
| Judy L Lincoln |
5% Or Greater Direct Ownership Interest | Aug 1, 1998 | 50% |
| Allison Lawson |
W-2 Managing Employee |
Apr 25, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111020000711 | MO | Part a Provider - Skilled Nursing Facility | 7214109081 | Practice locations: Seymour, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 029208 | MO | Yes |
Addresses
Primary practice location
851 W Thoroughfare St
Seymour, MO 65746-8767
Mailing address
851 W Thoroughfare St
Seymour, MO 65746-8767
Phone (417) 935-2992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103117503 | Medicaid | MO | |
| 16780817 | Other | MO | STATE ID |
Other names
- Glenwood Healthcare
Other providers in Seymour, MO
- Kristopher Lee
- Lester E Cox Medical Centers
- Lester E. Cox Medical Centers
- Hannah Luttrell
- Luttrell'S Pharmacy
- Ozark Upper Cervical, LLC
- Ronda Jean Phillips
- Regional Services
- Jeanne I Rodman
- Melissa Ellen Rushing
All providers in Seymour, 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 Nov 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.