Active NPI
N & R of East Prairie, Inc.
Doing business as East Prairie Nursing Center
- Skilled Nursing Facility
- East Prairie, MO
National Provider Identifier
1831185131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 029449
- Legal business name
- N & R OF EAST PRAIRIE, INC.
- Doing business as
- East Prairie Nursing Center
- Practice address
- 186 Millar Rd
East Prairie, MO 63845-1180 - Phone
- (573) 649-3551
- Fax
- (573) 649-3552
- NPI assigned
- Sep 22, 2005
- Last updated
- Apr 25, 2008
- 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
- Mr. Thomas Hudspeth
- Title
- Coo Cfo
- Phone
- (573) 392-0316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 029449 | MO | Primary |
Addresses
Primary practice location
186 Millar Rd
East Prairie, MO 63845-1180
Mailing address
186 Millar Rd
East Prairie, MO 63845-1180
Phone (573) 649-3551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102207503 | Medicaid | MO | |
| 16878019 | Other | MO | STATE ID |
Other names 1
- East Prairie Nursing Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0876264 | East Prairie Nursing Center | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1831185131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 MILLAR RD",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451180",
"telephone_number": "573-649-3551",
"fax_number": "573-649-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 MILLAR RD",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451180",
"telephone_number": "573-649-3551",
"fax_number": "573-649-3552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N & R OF EAST PRAIRIE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "HUDSPETH",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "COO CFO",
"authorized_official_telephone_number": "573-392-0316",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "029449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102207503",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "16878019",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "East Prairie Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Prairie, MO
- Main Street Pharmacy LLC.
- Main Street RX (Main Street Pharmacy)
- Main Street RX, LLC (Main Street Pharmacy LTC)
- Susan Myrick Marshall, PHARMD
- Teresa Leann Morris, LCSW
- Jennifer Samantha Presson
- Quality Care Services
- Quality Care Services LLC
- Kenna J Sadler, LMSW
- Saint Francis Medical Center (Saint Francis Clinic East Prairie)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.