NPIMap

Organization Active NPI

Gideon Care Center, Inc

  • Skilled Nursing Facility
  • Gideon, MO
National Provider Identifier
1982665717
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031090 Issued in MO
Legal business name
GIDEON CARE CENTER, INC
Practice address
300 S Lunbeck Ave
Gideon, MO 63848-9211
Phone
(573) 448-3505
Fax
(573) 448-3787
NPI assigned
Mar 31, 2006
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Mrs. Angela Renee Jones, OWNER
Title
Administrator
Phone
(573) 448-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031090 MO Primary

Addresses

Primary practice location

300 S Lunbeck Ave
Gideon, MO 63848-9211

Mailing address

PO Box 197
Fourth & Lunbeck
Gideon, MO 63848-0197
Phone (573) 448-3505

Other identifiers 1

IdentifierTypeStateIssuer
102757408MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030513000045 MO Part A Provider - Skilled Nursing Facility 2961312574 Practice locations: Gideon, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982665717. Details of each certification follow.

Skilled nursing facility certification: CCN 265409

Legal name
GIDEON CARE CENTER, INC
Doing business as
GIDEON CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 31, 1990
Last certification
Dec 18, 2024
Beds
72
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
300 S Lunbeck Ave
Gideon, MO 63848-9211
Nursing home name
GIDEON CARE CENTER
Affiliated entity
PARADIGM SENIOR MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gideon Care CenterCCN 265409 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 31, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7259.2 residents per day on average
Chain
Paradigm Senior Management8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0717446Gideon Care Center300 Lunbeck, Gideon, MO 63848Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gideon Health Care Center, Inc. Organization, Dexter, MO Corporation Adp of the SNF Mar 14, 2025
MRV Banks Organization, Cape Girardeau, MO Corporation, Financial institution 5% Or Greater Mortgage Interest Sep 23, 2022 100%
Adp of the SNF Mar 3, 2025
Benjamin P Sells Individual 5% Or Greater Direct Ownership InterestPresident Aug 1, 2022 50%
Corporate OfficerCeo Aug 1, 2022 50%
Operational/Managerial Control Aug 1, 2022
Adp of the SNF Aug 1, 2022
Direct Ownership Interest Aug 1, 2022 50%
Angela R Jones Individual 5% Or Greater Direct Ownership InterestVice President/Officer Aug 1, 2022 50%
Corporate OfficerVice President/Officer Aug 1, 2022 50%
Operational/Managerial Control Aug 1, 2022
Adp of the SNF Oct 1, 2024
McKenzie Armstrong Individual Operational/Managerial Control Jun 16, 2023
Adp of the SNF Jun 16, 2023
Individual Adp of the SNF Jun 1, 2023
Paradigm Senior Management LLC Organization, Dexter, MO LLC, For-profit, Chain home office Operational/Managerial Control Aug 1, 2022 100%
Adp of the SNF Feb 25, 2025
Holly Underwood Individual Operational/Managerial Control Dec 27, 2024
Adp of the SNF Dec 27, 2024
Individual Adp of the SNF Jan 1, 2020
Dalen Hutchinson Individual Corporate OfficerCfo Nov 1, 2022 10%
Operational/Managerial Control Nov 1, 2022
Adp of the SNF Nov 1, 2022
Forvis Mazars LLP Organization, Springfield, MO LLC, Consulting firm Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 27, 2025
Individual Adp of the SNF Sep 23, 2022
Paradigm Rehab Services LLC Organization, Dexter, MO LLC, Management services company, For-profit Operational/Managerial Control Sep 1, 2024
Adp of the SNF Feb 27, 2025
Organization, Dexter, MO Corporation Adp of the SNF Mar 3, 2025

Facilities with the same owner 87

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 87

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1982665717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "address_2": "FOURTH & LUNBECK",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638480197",
            "telephone_number": "573-448-3505",
            "fax_number": "573-448-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S LUNBECK AVE",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638489211",
            "telephone_number": "573-448-3505",
            "fax_number": "573-448-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-448-3505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102757408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gideon, MO

Sources for this page

Verify at the official NPI Registry.