Active NPI
Christian Health Care of Springfield West Park
- Skilled Nursing Facility
- Springfield, MO
National Provider Identifier
1790879500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 027442
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Jared Christensen, D.D.S.
- 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, Inc (Brookhaven Health Care)
- 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
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.