N & R of Malden, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030260 Issued in MO

Legal business name

N & R OF MALDEN, LLC

Doing business as

Malden Nursing & Rehab

Practice address

1209 Stokelan Dr
Malden, MO 63863-1335

Phone

(573) 276-5115

Fax

(573) 276-5292

NPI assigned

Sep 22, 2005

Last updated

Nov 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James C Lincoln

Title

Shareholder

Phone

(573) 746-7100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Malden Nursing & Rehab Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1922094218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 STOKELAN DR",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638631335",
            "telephone_number": "573-276-5115",
            "fax_number": "573-246-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 STOKELAN DR",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638631335",
            "telephone_number": "573-276-5115",
            "fax_number": "573-276-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF MALDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "573-746-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102279700",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "17807701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malden Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McPherson Medical & Diagnostic, LLC (Malden Family Clinic and Diagnostic)
• Linda Kay Merritt, L.P.C.
• Missouri Delta Medical Center (Delta Regional Pharmacy)
• Missouri Delta Medical Center (Malden Primary Care)
• Mitchell Drug of Malden LLC (Mitchell Drug of Malden)
• Douglas P Nosacka, O.D.
• Charles E O'Neal II
• Brandon Joseph Oldham
• Joan Lamanilao Ozbent
• Taylor Phelps

• Skilled Nursing Facility in Malden, MO
• Providers in Malden, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.