Seniortrust of Columbia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031176 Issued in MO

Legal business name

SENIORTRUST OF COLUMBIA, LLC

Practice address

1801 Towne Dr
Columbia, MO 65202-2337

Phone

(573) 474-6111

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Robert Webb

Title

President

Phone

(615) 890-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Columbia Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• N & R of North Columbia LLC

  • Skilled Nursing Facility
  • Columbia, MO
  • NPI 1033458435
  NPD tax ID

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710922208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TOWNE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022337",
            "telephone_number": "573-474-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 TOWNE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022337",
            "telephone_number": "573-474-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORTRUST OF COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-890-2020"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144819",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Lynn Sell, MSN, APRN, FNP-C
• Michelle M Sellers, MA, LPC
• Regina M Selva, M.D.
• Thomas J Selva, MD
• Seniorlink Home Care
• Serenity Sleep Solutions of Missouri LLC
• Serenity Smiles Family Dentistry, LLC
• Syndee J Serr, ANP
• Seth Showalter LCSW LLC
• Anjna Sethi, MD

• Skilled Nursing Facility in Columbia, MO
• Providers in Columbia, 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 Aug 22, 2020; 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.