NPIMap

Organization Active NPI

Putnam County Nursing Home

  • Skilled Nursing Facility
  • Unionville, MO
National Provider Identifier
1881835528
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
036509 Issued in MO
Legal business name
PUTNAM COUNTY NURSING HOME
Practice address
1814 Oak St
Unionville, MO 63565-1275
Phone
(660) 947-2492
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Passion R Wyant
Title
Administrator
Phone
(660) 947-2492

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 036509 MO Primary
Respite Care 385H00000X 06516 MO

Addresses

Primary practice location

1814 Oak St
Unionville, MO 63565-1275

Mailing address

1814 Oak St
Unionville, MO 63565-1275
Phone (660) 947-2492

Other identifiers 1

IdentifierTypeStateIssuer
101493807MedicaidMO

Other names 1

  • Putnam County Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Putnam County Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1881835528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 OAK ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651275",
            "telephone_number": "660-947-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 OAK ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651275",
            "telephone_number": "660-947-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "WYANT",
        "authorized_official_first_name": "PASSION",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-947-2492"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036509",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MO",
            "license": "06516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101493807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam County Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Unionville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.