Organization Active NPI

The Healthy Choice LLC

  • Rural Health Clinic/Center
  • Montgomery City, MO
National Provider Identifier
1922485259
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE HEALTHY CHOICE LLC
Practice address
111 E 1St St
Montgomery City, MO 63361-2550
Phone
(573) 564-3214
Fax
(573) 564-3216
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Londa Y SwobodaNPI 1851567762
Title
FNP
Phone
(573) 564-3214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 102389 MO

Addresses

Primary practice location

111 E 1St St
Montgomery City, MO 63361-2550

Mailing address

111 E 1St St
Montgomery City, MO 63361-2550
Phone (573) 564-3214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160314001231 MO Part A Provider - Rural Health Clinic 1850609637 Practice locations: Montgomery City, MO

Rural health clinic certification: CCN 793844

Legal name
THE HEALTHY CHOICE LLC
Doing business as
HEALTHY CHOICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 20, 2017
Last certification
Apr 20, 2021
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
111 E First Street
Montgomery City, MO 63361-2550

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
26D2093114Healthy Choice111 East First Street, Montgomery City, MO 63361Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Londa Y Swoboda Individual 5% Or Greater Direct Ownership Interest May 16, 2015 100%
W-2 Managing Employee Oct 9, 2018

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1922485259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 1ST ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612550",
            "telephone_number": "573-564-3214",
            "fax_number": "573-564-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 1ST ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612550",
            "telephone_number": "573-564-3214",
            "fax_number": "573-564-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "SWOBODA",
        "authorized_official_first_name": "LONDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "573-564-3214"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "102389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery City, MO

Sources for this page

Verify at the official NPI Registry.