Lawson 1 Inc
Organization Active NPI Skilled Nursing Facility · Lawson, MO
NPI 1942238985 · NPPES record last updated Aug 31, 2017
Key facts
- NPI
- 1942238985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 044653 (MO)
- Legal business name
- LAWSON 1 INC
- Practice address
- 210 W 8TH Ter
Lawson, MO 64062-9357 - Phone
- (816) 580-3269
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald B Bedell
- Title
- President
- Phone
- (573) 471-1276
Owners & managing parties with NPI records 1
Facilities with the same owner 41
Practitioners 2
-
Shyam K. Akkulugari, MD., MPH
Affiliated clinicians 2
-
Rachel Beth Mason, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Lawson Manor & Rehab
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1997
- Medicare certification status
- Active
- Certified beds
- 60 · 43.3 residents per day on average
- Chain
- Circle B Enterprises
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1 · fines totaling $51,882
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0879088 | Lawson Manor and Rehab | Certificate of waiver | Nov 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265666
- Legal name
- LAWSON 1 INC
- Doing business as
- LAWSON MANOR & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1997
- Last certification
- Mar 18, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Advant Guard
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 210 W 8TH Ter
Lawson, MO 64062-9357 - Nursing home name
- LAWSON MANOR & REHAB
- Affiliated entity
- CIRCLE B ENTERPRISES
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Sovereign Healthcare Group LLC |
Operational/Managerial Control | Apr 23, 2021 | |
| Adp of the SNF | Apr 6, 2025 | ||
| FG LLC |
Adp of the SNF | Dec 2, 2016 | |
| Mid States Inc |
Adp of the SNF | Nov 1, 2010 | |
| |
Adp of the SNF | Jan 1, 2000 | |
| Lawson Real Estate LLC |
Adp of the SNF | Jan 1, 2010 | |
| Van de Ven LLC |
Adp of the SNF | Jan 1, 2000 | |
| Circle B Enterprises Holding Company Inc |
5% Or Greater Direct Ownership Interest | May 18, 2001 | 100% |
| Todd Beaird |
Corporate Officer |
Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| |
Adp of the SNF | Jan 1, 2000 | |
| Donald B Bedell |
Corporate Officer |
May 18, 2001 | 100% |
| Corporate Director |
May 18, 2001 | ||
| Operational/Managerial Control | May 18, 2001 | ||
| Robert L Buzard |
Operational/Managerial Control | Jun 1, 2022 | |
| Adp of the SNF | Jun 1, 2022 | ||
| Debra Dade |
Operational/Managerial Control | May 1, 2026 | |
| Adp of the SNF | May 1, 2026 | ||
| DCB Real Estate Partnership LP |
Adp of the SNF | Jan 1, 2010 | |
| Forvis Mazars LLP |
Adp of the SNF | Aug 16, 2021 | |
| Agh1 LLC |
Operational/Managerial Control | Dec 2, 2016 | |
| Adp of the SNF | May 27, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030217000044 | MO | Part a Provider - Skilled Nursing Facility | 2668381229 | Practice locations: Lawson, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 044653 | MO | Yes |
Addresses
Primary practice location
210 W 8TH Ter
Lawson, MO 64062-9357
Mailing address
PO Box 1210
Sikeston, MO 63801-1210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101780500 | Medicaid | MO |
Other names
- Lawson Manor & Rehab
Other providers in Lawson, MO
- Kanning Dental LLC
- Larry G. Kanning
- Nelson Carter Kanning
- Angela Dawn Knaack
- L G Kanning DDS PC
- Lawson Community Fire & Rescue Protection District
- Lawson Family Practice, Inc.
- Lawson R-Xiv
- Christopher Andrew Lubeck
- Paige L Mathews
All providers in Lawson, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.