St.Luke's Management ,Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031500 Issued in MO

Legal business name

ST.LUKE'S MANAGEMENT ,INC.

Doing business as

St. Luke's Nursing and Rehabilitation

Practice address

1220 E Fairview Ave
Carthage, MO 64836-3122

Phone

(417) 358-9084

Fax

(417) 358-6991

NPI assigned

Jan 11, 2007

Organization subpart

Yes

Parent organization

ST.LUKE'S NURSING CENTER,INC.As reported in NPPES

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

Authorized official

Name

Deanna Shaffer

Title

Administrator

Phone

(417) 358-9084

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Luke's Nursing and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720138027. Details of each certification follow.

• CCN 265661 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265661

Legal name

ST.LUKE'S MANAGEMENT ,INC.

Doing business as

ST. LUKE'S NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1997

Last certification

May 9, 2025

Beds

95

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 14, 1986 in MO

Enrollment address

1220 E Fairview Ave
Carthage, MO 64836-3122

Nursing home name

ST LUKE'S NURSING AND REHABILITATION

Listed as

St Luke's Nursing and RehabilitationCCN 265661 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9584.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Harold A Smart, DO

  • Family Medicine Physician
  • Carthage, MO
  • NPI 1063441632

  Adp of the SNF, Corporate Director, Operational/Managerial Control

  CMS ownership

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.

• Harold A Smart, DO

  • Family Medicine Physician
  • Carthage, MO
  • NPI 1063441632
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Roger A. Sacry I, M.D.

  • Family Medicine Physician
  • Carthage, MO
  • NPI 1528009529

  Nursing home

  Care Compare affiliation
• Harold A Smart, DO

  • Family Medicine Physician
  • Carthage, MO
  • NPI 1063441632

  Nursing home

  Care Compare affiliation
• Robert Leroy Sweeten Jr., M.D.

  • Internal Medicine Physician
  • Neosho, MO
  • NPI 1164509766

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1720138027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E FAIRVIEW AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363122",
            "telephone_number": "417-358-9084",
            "fax_number": "417-358-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E FAIRVIEW AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363122",
            "telephone_number": "417-358-9084",
            "fax_number": "417-358-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.LUKE'S MANAGEMENT ,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.LUKE'S NURSING CENTER,INC.",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-358-9084"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101475606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Carthage, MO
• Providers in Carthage, 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 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.