Washington N & R, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030532 Issued in MO

Legal business name

WASHINGTON N & R, LLC

Doing business as

Cedarcrest Manor

Practice address

324 W 5TH St
Washington, MO 63090-2306

Phone

(636) 239-7848

Fax

(636) 239-0028

NPI assigned

Sep 21, 2005

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James C Lincoln

Title

Member

Phone

(573) 746-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cedarcrest Manor Doing business as

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1750377123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902306",
            "telephone_number": "636-239-7848",
            "fax_number": "636-239-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902306",
            "telephone_number": "636-239-7848",
            "fax_number": "636-239-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON N & R, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-746-7100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101450609",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "17340829",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedarcrest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Washington, MO
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• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.