NPIMap

Organization Active NPI

N & R of St Charles LLC

  • Skilled Nursing Facility
  • Saint Charles, MO
National Provider Identifier
1780923318
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
101482206 Issued in MO
Legal business name
N & R OF ST CHARLES LLC
Doing business as
Lewis & Clark Gardens
Practice address
1221 Boones Lick Rd
Saint Charles, MO 63301-2328
Phone
(636) 946-6140
Fax
(636) 757-1141
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Carla Hedrick, CFO
Title
Cfo
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 101482206 MO Primary

Addresses

Primary practice location

1221 Boones Lick Rd
Saint Charles, MO 63301-2328

Mailing address

PO Box 1559
Sikeston, MO 63801-1559
Phone (573) 481-9625

Other identifiers 1

IdentifierTypeStateIssuer
101482206MedicaidMO

Other names 1

  • Lewis & Clark Gardens Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 199.119.81.30:8291 Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000471 MO Part A Provider - Skilled Nursing Facility 7719123264 Practice locations: Saint Charles, MO

Skilled nursing facility certification: CCN 265160

Legal name
N & R OF ST CHARLES LLC
Doing business as
LEWIS & CLARK GARDENS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 17, 1982
Last certification
Aug 8, 2024
Beds
142
Ownership / control type
Limited Liability Corporation
Multi-facility organization
HEALTH SYSTEMS
Most recent change of ownership
Feb 6, 2013
Organization structure
LLCProprietary
Incorporated
Feb 1, 2013 in MO
Enrollment address
1221 Boones Lick Rd
Saint Charles, MO 63301-2328
Nursing home name
LEWIS & CLARK GARDENS
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lewis & Clark GardensCCN 265160 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 17, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14286.6 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Penalties (3 years)
4Fines totaling $139,916

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Yates Individual W-2 Managing EmployeeAdministrator Feb 6, 2013
LTC Management Services LLC Organization, Saint Charles, MO For-profit Operational/Managerial Control Feb 6, 2013 100%
James C Lincoln Individual 5% Or Greater Direct Ownership InterestMember Nov 14, 2012 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership InterestMember Nov 14, 2012

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1780923318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011559",
            "telephone_number": "573-481-9625",
            "fax_number": "573-481-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BOONES LICK RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012328",
            "telephone_number": "636-946-6140",
            "fax_number": "636-757-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF ST CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-481-9625",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "101482206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101482206",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "199.119.81.30:8291",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 w 108th ter",
            "city": "overland park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lewis & Clark Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.