Organization Active NPI

Desoto Investment Group LLC

  • Skilled Nursing Facility
  • De Soto, MO
National Provider Identifier
1851844393
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DESOTO INVESTMENT GROUP LLC
Practice address
3260 Baisch Dr
De Soto, MO 63020-5046
Phone
(417) 425-3062
NPI assigned
Aug 2, 2016
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Mrs. Brooke Michelle Bigham
Title
President
Phone
(417) 425-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3260 Baisch Dr
De Soto, MO 63020-5046

Mailing address

PO Box 134
Mountain Grove, MO 65711-0134
Phone (417) 425-3062

Other identifiers 1

IdentifierTypeStateIssuer
104685003MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160927001077 MO Part A Provider - Skilled Nursing Facility 9032406582 Practice locations: De Soto, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851844393. Details of each certification follow.

Skilled nursing facility certification: CCN 265714

Legal name
DESOTO INVESTMENT GROUP LLC
Doing business as
BAISCH NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 2001
Last certification
Feb 28, 2025
Beds
61
Ownership / control type
Corporation
Most recent change of ownership
Sep 1, 2016
Organization structure
LLCProprietary
Incorporated
May 24, 2016 in MO
Enrollment address
3260 Baisch Dr
De Soto, MO 63020-5046
Nursing home name
BAISCH NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Baisch Nursing CenterCCN 265714 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6151.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Desoto Investment Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Krisley Properties LLC Organization, Springfield, MO LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 31, 2016 80%
Jennifer Otte Individual W-2 Managing EmployeeAdministrator Mar 5, 2018
Terrence Coulter Individual 5% Or Greater Direct Ownership Interest Aug 31, 2016 10%
Operational/Managerial Control Sep 1, 2016
North Star Equity Group LLC Organization, Linn Creek, MO LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Aug 31, 2016 10%
Operational/Managerial Control Aug 31, 2016
Brooke Bigham Individual Corporate OfficerPres of Desoto Invest GRP LLC Aug 31, 2016
James Hodge Individual Corporate OfficerPres/North Star Equity GRP LLC Aug 31, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1851844393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657110134",
            "telephone_number": "417-425-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BAISCH DR",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630205046",
            "telephone_number": "417-425-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-425-3062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104685003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Soto, MO

Sources for this page

Verify at the official NPI Registry.