NPIMap

Organization Active NPI

N & R of South Hampton, LLC

Doing business as South Hampton Place

  • Skilled Nursing Facility
  • Columbia, MO
National Provider Identifier
1922094127
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030432 Issued in MO
Legal business name
N & R OF SOUTH HAMPTON, LLC
Doing business as
South Hampton Place
Practice address
4700 Brandon Woods St
Columbia, MO 65203-7169
Phone
(573) 874-3674
Fax
(573) 874-3479
NPI assigned
Sep 22, 2005
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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 030432 MO Primary

Addresses

Primary practice location

4700 Brandon Woods St
Columbia, MO 65203-7169

Mailing address

4700 Brandon Woods St
Columbia, MO 65203-7169
Phone (573) 874-3674

Other identifiers 2

IdentifierTypeStateIssuer
18014275OtherMOSTATE ID
107910507MedicaidMO

Other names 1

  • South Hampton Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000764 MO Part A Provider - Skilled Nursing Facility 6204925233 Practice locations: Columbia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922094127. Details of each certification follow.

Skilled nursing facility certification: CCN 265618

Legal name
N & R OF SOUTH HAMPTON, LLC
Doing business as
SOUTH HAMPTON PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 14, 1995
Last certification
Apr 8, 2025
Beds
100
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
May 1, 2002
Organization structure
LLCProprietary
Incorporated
May 1, 2002 in MO
Enrollment address
4700 Brandon Woods St
Columbia, MO 65203-7169
Nursing home name
SOUTH HAMPTON REHABILITATION & HEALTH CARE CENTER
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Hampton Rehabilitation & Health Care CenterCCN 265618 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 14, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10077.7 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Penalties (3 years)
2Fines totaling $12,735

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
26D0918646N & R of South Hampton Dba4700 Brandon Woods Street, Columbia, MO 65203Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Feb 13, 2015 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest May 1, 2002 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest May 1, 2002 50%
Shauna Adams Individual W-2 Managing EmployeeAdministrator Apr 25, 2022 100%

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 5

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 3

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1922094127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BRANDON WOODS ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037169",
            "telephone_number": "573-874-3674",
            "fax_number": "573-874-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BRANDON WOODS ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037169",
            "telephone_number": "573-874-3674",
            "fax_number": "573-874-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF SOUTH HAMPTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2009-12-29",
        "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": "030432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "18014275",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107910507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hampton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.