N & R of Dixon, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030811 Issued in MO

Legal business name

N & R OF DIXON, LLC

Doing business as

Dixon Nursing & Rehab

Practice address

403 E 10TH St
Dixon, MO 65459-6049

Phone

(573) 759-2135

Fax

(573) 759-2600

NPI assigned

Sep 21, 2005

Last updated

May 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James C Lincoln

Title

Member

Phone

(573) 481-9625

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dixon Nursing & Rehab Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Bohdan A Lebedowicz, MD

  • Internal Medicine Physician
  • Rolla, MO
  • NPI 1023087731
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1699761080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 10TH ST",
            "city": "DIXON",
            "state": "MO",
            "postal_code": "654596049",
            "telephone_number": "573-759-2135",
            "fax_number": "573-759-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 10TH ST",
            "city": "DIXON",
            "state": "MO",
            "postal_code": "654596049",
            "telephone_number": "573-759-2135",
            "fax_number": "573-759-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF DIXON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-481-9625"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "18459587",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102745502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixon Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hometown Pharmacy
• Emily Kluck, COTA
• Denise Lorenz, LPC
• Carlene S McMillian, F.N.P.
• Romar Gianan Milos
• Jessica Stewart, PT
• Town & Country Super Market Inc (Country Mart Pharmacy #2416)
• Charlene Pope Windsor, RN

• Skilled Nursing Facility in Dixon, MO
• Providers in Dixon, 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 May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.