Organization Active NPI

Close to Home, Inc

  • Skilled Nursing Facility
  • Matthews, MO
National Provider Identifier
1952463283
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032983 Issued in MO
Legal business name
CLOSE TO HOME, INC
Practice address
609 S Railroad
Matthews, MO 63867-9751
Phone
(636) 536-5365
Fax
(636) 536-4533
NPI assigned
Dec 14, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. John M. Sells
Title
President
Phone
(636) 536-5365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032983 MO Primary

Addresses

Primary practice location

609 S Railroad
Matthews, MO 63867-9751

Mailing address

1795 Clarkson Rd
Suite 200
Chesterfield, MO 63017-4967
Phone (636) 536-5365

Other identifiers 1

IdentifierTypeStateIssuer
18533069MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1952463283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 CLARKSON RD",
            "address_2": "SUITE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174967",
            "telephone_number": "636-536-5365",
            "fax_number": "636-536-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S RAILROAD",
            "city": "MATTHEWS",
            "state": "MO",
            "postal_code": "638679751",
            "telephone_number": "636-536-5365",
            "fax_number": "636-536-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-536-5365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18533069",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.