Active NPI
Skilled Nursing Services LLC
- Skilled Nursing Facility
- Moberly, MO
National Provider Identifier
1720142722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SKILLED NURSING SERVICES LLC
- Practice address
- 1600 E Rollins St
Moberly, MO 65270-2478 - Phone
- (660) 263-6887
- Fax
- (660) 263-8823
- NPI assigned
- Dec 21, 2006
- 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
- Terry Lee Sears
- Title
- Member
- Phone
- (660) 263-6887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1600 E Rollins St
Moberly, MO 65270-2478
Mailing address
1600 E Rollins St
Moberly, MO 65270-2478
Phone (660) 263-6887
Other names 1
- Loma Linda
National Provider Directory
National Provider DirectoryLocations
1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720142722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E ROLLINS ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702478",
"telephone_number": "660-263-6887",
"fax_number": "660-263-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E ROLLINS ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702478",
"telephone_number": "660-263-6887",
"fax_number": "660-263-8823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILLED NURSING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEARS",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "660-263-6887"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Loma Linda",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moberly, MO
Sources for this page
- 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.