Organization Active NPI

Collins Acres Care Center Inc

Doing business as Sikeston Convalescent Center

  • Skilled Nursing Facility
  • Sikeston, MO
National Provider Identifier
1912939976
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
044928 Issued in MO
Legal business name
COLLINS ACRES CARE CENTER INC
Doing business as
Sikeston Convalescent Center
Practice address
103 Kennedy Dr
Sikeston, MO 63801-5126
Phone
(573) 471-6900
NPI assigned
Jul 7, 2006
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Donald B Bedell
Title
President
Phone
(573) 471-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 044928 MO Primary

Addresses

Primary practice location

103 Kennedy Dr
Sikeston, MO 63801-5126

Mailing address

PO Box 1210
Sikeston, MO 63801-1210

Other identifiers 1

IdentifierTypeStateIssuer
101495901MedicaidMO

Other names 1

  • Sikeston Convalescent Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524001368 MO Part A Provider - Skilled Nursing Facility 8426090085 Practice locations: Sikeston, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912939976. Details of each certification follow.

Skilled nursing facility certification: CCN 265479

Legal name
COLLINS ACRES CARE CENTER INC
Doing business as
SIKESTON CONVALESCENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 5, 1991
Last certification
Jan 13, 2025
Beds
120
Ownership / control type
Individual
Organization structure
CorporationProprietary
Enrollment address
103 Kennedy Dr
Sikeston, MO 63801-5126
Nursing home name
SIKESTON CONVALESCENT CENTER
Affiliated entity
CIRCLE B ENTERPRISES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sikeston Convalescent CenterCCN 265479 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Nov 5, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12067.6 residents per day on average
Chain
Circle B Enterprises36 facilities in the chain
Penalties (3 years)
1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

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
26D0705504Sikeston Convalescent Center103 Kennedy Dr, Sikeston, MO 63801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Individual Adp of the SNF Jan 1, 2000
Sovereign Healthcare Group LLC Organization, Sikeston, MO LLC, Medical provider/supplier Operational/Managerial Control Apr 23, 2021
Adp of the SNF Apr 6, 2025
FG LLC Organization, Sikeston, MO LLC Adp of the SNF Dec 2, 2016
Mid States Inc Organization, Sikeston, MO Corporation, Management services company Adp of the SNF Nov 1, 2010
Madhu Sahai Individual Operational/Managerial Control Apr 1, 2018
Adp of the SNF Apr 1, 2018
Van de Ven LLC Organization, Cape Girardeau, MO LLC Adp of the SNF Jan 1, 2000
Circle B Enterprises Holding Company Inc Organization, Sikeston, MO Corporation, Holding company 5% Or Greater Direct Ownership Interest Jun 1, 1996 100%
Convalescent Properties LLC Organization, Sikeston, MO LLC Adp of the SNF Jan 1, 2010
Todd Beaird Individual Corporate OfficerCorporate Secretary Jan 1, 2022
Adp of the SNF Jan 1, 2022
Donald B Bedell Individual Corporate OfficerPresident Jan 6, 1997
Corporate DirectorPresident Oct 31, 2000
Operational/Managerial Control Jan 6, 1997
Daryl Wade Individual Operational/Managerial Control Oct 16, 2020
Adp of the SNF Oct 16, 2020
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Aug 16, 2021
Agh1 LLC Organization, Sikeston, MO LLC, Management services company, Consulting firm Operational/Managerial Control Dec 2, 2016
Adp of the SNF Mar 25, 2025
Jennifer Jones Individual Adp of the SNF Feb 17, 2023
Organization, Sikeston, MO Adp of the SNF Oct 27, 2025
Individual Adp of the SNF Jan 1, 2000
Organization, Sikeston, MO Adp of the SNF Feb 24, 1999

Owners & managing parties with NPI records 2

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

Facilities with the same owner 41

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

View all 41

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 2

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1912939976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 KENNEDY DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015126",
            "telephone_number": "573-471-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS ACRES CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "044928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101495901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sikeston Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sikeston Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.