Active NPI
Current River Nursing Center, Inc.
Doing business as Current River Nursing Center
- Skilled Nursing Facility
- Doniphan, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030141
- Legal business name
- CURRENT RIVER NURSING CENTER, INC.
- Doing business as
- Current River Nursing Center
- Practice address
- 1015 N Grand Ave
Doniphan, MO 63935-1779 - Phone
- (573) 996-4239
- Fax
- (573) 996-4242
- NPI assigned
- Sep 21, 2005
- Last updated
- Nov 4, 2011
- 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
- Shareholder
- Phone
- (573) 746-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030141 | MO | Primary |
Addresses
Primary practice location
1015 N Grand Ave
Doniphan, MO 63935-1779
Mailing address
1015 N Grand Ave
Doniphan, MO 63935-1779
Phone (573) 996-4239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14736896 | Other | MO | STATE ID |
| 103206603 | Medicaid | MO |
Other names 1
- Current River Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000600 | MO | Part A Provider - Skilled Nursing Facility | 8123293578 | Practice locations: Doniphan, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982690376. Details of each certification follow.
Skilled nursing facility certification: CCN 265504
- Legal name
- CURRENT RIVER NURSING CENTER, INC.
- Doing business as
- CURRENT RIVER NURSING CENTER, INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 24, 1992
- Last certification
- Jul 15, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Tutera
- Organization structure
- LLC
- Incorporated
- Mar 1, 1992 in MO
- Enrollment address
- 1015 N Grand Ave
Doniphan, MO 63935-1779 - Nursing home name
- CURRENT RIVER REHABILITATION & HEALTH CARE CENTER
- Affiliated entity
- JAMES & JUDY LINCOLN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Current River Rehabilitation & Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 24, 1992
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- James & Judy Lincoln
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0890134 | Current River Nursing Center | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
1015 N Grand Ave
Doniphan, MO 63935
Phone (573) 222-8676
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Brandon Bysor | Corporate Director | Mar 23, 2022 | 50% |
| Charlotte a Stutts | Corporate Officer | Mar 1, 1992 | 50% |
| Timothy O Drake | Corporate Officer | Mar 23, 2022 | 50% |
| Heather Dawn Campbell | W-2 Managing Employee | Mar 23, 2022 | 100% |
| James C Lincoln | 5% Or Greater Direct Ownership Interest | Mar 1, 1992 | 50% |
| Current River Nursing Center, Inc. | Operational/Managerial Control | Mar 1, 1992 | 100% |
| Judy L Lincoln | 5% Or Greater Direct Ownership Interest | May 1, 2002 |
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.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1841247848
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1841247848
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320364800000",
"number": "1982690376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 N GRAND AVE",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351779",
"telephone_number": "573-996-4239",
"fax_number": "573-996-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N GRAND AVE",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351779",
"telephone_number": "573-996-4239",
"fax_number": "573-996-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURRENT RIVER NURSING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2011-11-04",
"status": "A",
"authorized_official_last_name": "LINCOLN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "573-746-7100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "030141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "14736896",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103206603",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Current River Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.