Organization Active NPI

Christian Health Care of Springfield West Park

  • Skilled Nursing Facility
  • Springfield, MO
National Provider Identifier
1790879500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
027442 Issued in MO
Legal business name
CHRISTIAN HEALTH CARE OF SPRINGFIELD WEST PARK
Practice address
3405 W Mount Vernon St
Springfield, MO 65802-5241
Phone
(417) 891-9939
Fax
(417) 891-9928
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Thomas Stayton
Title
President
Phone
(417) 891-9939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 027442 MO Primary

Addresses

Primary practice location

3405 W Mount Vernon St
Springfield, MO 65802-5241

Mailing address

5302 Village Pkwy
Suite 1
Rogers, AR 72758-8102
Phone (479) 464-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790879500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 VILLAGE PKWY",
            "address_2": "SUITE 1",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588102",
            "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": "417-891-9939",
            "fax_number": "417-891-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HEALTH CARE OF SPRINGFIELD WEST PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "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": "027442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, 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.