Active NPI
N & R of Nevada LLC
- Skilled Nursing Facility
- Nevada, MO
National Provider Identifier
1982019790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 040601
- Legal business name
- N & R OF NEVADA LLC
- Practice address
- 700 E Highland Ave
Nevada, MO 64772-1025 - Phone
- (417) 667-8889
- Fax
- (417) 667-7830
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James C Lincoln
- Title
- Member
- Phone
- (573) 481-9625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 040601 | MO | Primary |
Addresses
Primary practice location
700 E Highland Ave
Nevada, MO 64772-1025
Mailing address
700 E Highland Ave
Nevada, MO 64772-1025
Phone (417) 667-8889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106773807 | Medicaid | MO |
Other names 1
- NEVADA NURSING & REHAB
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1982019790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721025",
"telephone_number": "417-667-8889",
"fax_number": "417-667-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721025",
"telephone_number": "417-667-8889",
"fax_number": "417-667-7830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N & R OF NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "LINCOLN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "573-481-9625"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "040601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106773807",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEVADA NURSING & REHAB",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.