Tri County Nursing Home District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

029359 Issued in MO

Legal business name

TRI COUNTY NURSING HOME DISTRICT

Doing business as

Tri County Care Center

Practice address

601 N Galloway Rd
Vandalia, MO 63382-1252

Phone

(573) 594-6467

Fax

(573) 594-3863

NPI assigned

Nov 11, 2005

Last updated

Aug 19, 2008By 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

Mrs. Penny Louise Kampeter

Title

Administrator

Phone

(573) 594-6467

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri County Care Center Doing business as

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1962483214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N GALLOWAY RD",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821252",
            "telephone_number": "573-594-6467",
            "fax_number": "573-594-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N GALLOWAY RD",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821252",
            "telephone_number": "573-594-6467",
            "fax_number": "573-594-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY NURSING HOME DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "KAMPETER",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-594-6467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "029359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101477503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri County Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Sue Rose-Liana, FNP
• Joseph Salois, RPH
• Teresa L Stice, OD
• The Baptist Home (Baptist Homes of Vandalia)
• The Baptist Homes (Baptist Home Healthcare and Ministeries)
• Aaron Trone, M.D.
• Van Far Ambulance District
• Van Far R-I
• Van-Far R1 Schools
• Lisa Jean Wise, MA CCC SLP

• Skilled Nursing Facility in Vandalia, MO
• Providers in Vandalia, 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 Aug 19, 2008; 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.