Nevada Assisted Living

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

NEVADA ASSISTED LIVING

Practice address

1495 E Ashland St
Nevada, MO 64772-4016

Phone

(417) 667-5000

NPI assigned

Feb 5, 2026

Organization subpart

No

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

Authorized official

Name

Martin Tyler

Title

Director

Phone

(417) 667-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1841141868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 E ASHLAND ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724016",
            "telephone_number": "417-667-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 E ASHLAND ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724016",
            "telephone_number": "417-667-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-667-5000"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Home Administrator in Nevada, MO
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• Nursing Home Administrator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.