Christian Health Care of Springfield West Park, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHRISTIAN HEALTH CARE OF SPRINGFIELD WEST PARK, INC

Doing business as

Brookhaven Health Care

Practice address

3405 W Mount Vernon St
Springfield, MO 65802-5241

Phone

(417) 874-9600

Fax

(417) 874-9601

NPI assigned

Feb 17, 2010

Last updated

Nov 28, 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

Mrs. Phyllis A Stayton, R.N.

Title

Director of Clinical Services

Phone

(417) 343-5401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookhaven Health Care Doing business as

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1780906867",
    "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": "3405 W MOUNT VERNON ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025241",
            "telephone_number": "417-874-9600",
            "fax_number": "417-874-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTH CARE OF SPRINGFIELD WEST PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "STAYTON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "417-343-5401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101451110",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Christenson
• Morgan Christeson
• Christian Health Care Hospice, Inc. (Regional Hospice)
• Christian Health Care of Springfield East, Inc.
• Christian Health Care of Springfield West Park
• Christian Health Care of Springfield West, Inc.
• Christian Health Care Pharmacy LLC (Regional Pharmacy)
• La Nyka Arianne Christian, MD
• Linda Jean Christian, LPC, CRAADC, CCJP
• McCall Christian, DAT, LAT, ATC

• Skilled Nursing Facility in Springfield, MO
• Providers in Springfield, 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 Nov 28, 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.