Christian Health Care of Hermitage, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032608 Issued in MO

Legal business name

CHRISTIAN HEALTH CARE OF HERMITAGE, INC.

Practice address

Hwy 54 and 1St St
Hermitage, MO 65668

Phone

(417) 745-2111

Fax

(417) 745-2211

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Stayton

Title

President

Phone

(417) 891-9939

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1720160153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 1ST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564504",
            "telephone_number": "479-464-0200",
            "fax_number": "479-464-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 54 AND 1ST ST",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "65668",
            "telephone_number": "417-745-2111",
            "fax_number": "417-745-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTH CARE OF HERMITAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "STAYTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-891-9939"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101975308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Appel, PMHNP
• Staci Dione Beem, PHYSICAL THERAPIST
• Citizens Memorial Health Care Foundation
• Citizens Memorial Healthcare
• Aaron Brent Daulton
• Patricia A Drennon, RN, MSN, PMHNP
• Derrick Bennet Eichstadt, D.C.

• Skilled Nursing Facility in Hermitage, MO
• Providers in Hermitage, 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 19, 2011; 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.