Organization Active NPI

Skilled Nursing Services LLC

  • Skilled Nursing Facility
  • Moberly, MO
National Provider Identifier
1720142722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.