Organization 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
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
029449 Issued in MO
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102207503MedicaidMO
16878019OtherMOSTATE ID

Other names 1

  • East Prairie Nursing Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0876264East Prairie Nursing Center186 Millar Road PO Box 299, East Prairie, MO 63845Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.