Active NPI
N & R of Sikeston Health Care, Inc.
Doing business as Sikeston Health Care
- Skilled Nursing Facility
- Sikeston, MO
National Provider Identifier
1699761882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030921
- Legal business name
- N & R OF SIKESTON HEALTH CARE, INC.
- Doing business as
- Sikeston Health Care
- Practice address
- 3144 State Highway FF
Sikeston, MO 63801-8580 - Phone
- (573) 471-1174
- Fax
- (573) 471-1944
- NPI assigned
- Sep 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Hudspeth
- Title
- Coo Cfo
- Phone
- (573) 392-0316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030921 | MO | Primary |
Addresses
Primary practice location
3144 State Highway FF
Sikeston, MO 63801-8580
Mailing address
PO Box 489
Sikeston, MO 63801-0489
Phone (573) 471-1174
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16877951 | Other | MO | STATE ID |
| 101495802 | Medicaid | MO |
Other names 1
- Sikeston Health Care
National Provider Directory
National Provider DirectoryLocations
3144 State Highway FF
Sikeston, MO 63801
Phone (573) 471-1174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232496000000",
"number": "1699761882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638010489",
"telephone_number": "573-471-1174",
"fax_number": "573-471-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3144 STATE HIGHWAY FF",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638018580",
"telephone_number": "573-471-1174",
"fax_number": "573-471-1944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N & R OF SIKESTON HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2009-01-21",
"status": "A",
"authorized_official_last_name": "HUDSPETH",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "COO CFO",
"authorized_official_telephone_number": "573-392-0316",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "030921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "16877951",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101495802",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sikeston Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.