General Baptist Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030762 Issued in MO

Legal business name

GENERAL BAPTIST NURSING HOME, INC.

Doing business as

General Baptist Nursing Home

Practice address

17108 US Highway 62
Campbell, MO 63933-6383

Phone

(573) 246-2155

Fax

(573) 246-2269

NPI assigned

Jul 6, 2006

Last updated

Jul 1, 2015By 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. Scott R Cole

Title

Ceo

Phone

(870) 598-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• General Baptist Nursing Home Doing business as

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1932130101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17108 US HIGHWAY 62",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "639336383",
            "telephone_number": "573-246-2155",
            "fax_number": "573-246-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17108 US HIGHWAY 62",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "639336383",
            "telephone_number": "573-246-2155",
            "fax_number": "573-246-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL BAPTIST NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-598-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101486801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Baptist Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Campbell Healthcare & Senior Living, LLC
• Campbell R-2 School District
• Melinda Kaye Colbert
• Melissa Lynne Cooley
• Dana Lee Cooper, FNP
• Genesis Home Care (Robin Boykin)
• Cynthia M Gonzalez
• Kayla Graves, RD
• Sarah E Guethle, OT
• Harris Pharmacy of Campbell

• Skilled Nursing Facility in Campbell, MO
• Providers in Campbell, 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 Jul 1, 2015; 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.