Organization Active NPI

Current River Nursing Center, Inc.

Doing business as Current River Nursing Center

  • Skilled Nursing Facility
  • Doniphan, MO
National Provider Identifier
1982690376
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030141 Issued in MO
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14736896OtherMOSTATE ID
103206603MedicaidMO

Other names 1

  • Current River Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 265504 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 24, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12046.5 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Penalties (3 years)
1Fines totaling $0

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
26D0890134Current River Nursing Center1015 North Grand Ave, Doniphan, MO 63935Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Brandon Bysor Individual Corporate DirectorMember Mar 23, 2022 50%
Charlotte a Stutts Individual Corporate OfficerSecretary Mar 1, 1992 50%
Timothy O Drake Individual Corporate OfficerPresident Mar 23, 2022 50%
Heather Dawn Campbell Individual W-2 Managing EmployeeAdministrator Mar 23, 2022 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Mar 1, 1992 50%
Current River Nursing Center, Inc. Organization, Doniphan, MO Corporation Operational/Managerial Control Mar 1, 1992 100%
Judy L Lincoln Individual 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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.