Organization Active NPI

Richland Care Center, Inc.

  • Skilled Nursing Facility
  • Richland, MO
National Provider Identifier
1982748091
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032073 Issued in MO
Legal business name
RICHLAND CARE CENTER, INC.
Practice address
400 Tri-County Lane
Richland, MO 65556-0756
Phone
(573) 765-3243
NPI assigned
Feb 20, 2007
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Julie Ann Avila
Title
Administrator
Phone
(573) 765-3243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032073 MO Primary

Addresses

Primary practice location

400 Tri-County Lane
Richland, MO 65556-0756

Mailing address

PO Box 756
Richland, MO 65556-0756
Phone (573) 765-3243

Other identifiers 1

IdentifierTypeStateIssuer
102607306MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001720 MO Part A Provider - Skilled Nursing Facility 8426029166 Practice locations: Richland, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982748091. Details of each certification follow.

Skilled nursing facility certification: CCN 265755

Legal name
RICHLAND CARE CENTER, INC.
Doing business as
RICHLAND CARE CENTER INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 2003
Last certification
Sep 20, 2024
Beds
86
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
400 Tri-County Lane
Box 756
Richland, MO 65556-0756
Nursing home name
RICHLAND CARE CENTER INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Richland Care Center IncCCN 265755 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8645.6 residents per day on average

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
26D0446985Richland Care Center Inc400 Tri-County Lane, Richland, MO 65556Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

400 Tricounty Ln
Richland, MO 65556
Phone (573) 765-3243

400 Tricounty Ln
#756
Richland, MO 65556
Phone (573) 765-3243

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jeanne E Alexander Individual Corporate DirectorVice President Jun 1, 2009
Timothy L Belshe Individual Corporate DirectorMember Jun 1, 2021
Trustee of the SNF Jun 1, 2021
David T Howlett Individual Corporate DirectorBoard Member Aug 1, 2021
Wilma L Oursbourn Individual Corporate DirectorBoard Member Sep 1, 2021
Shirley M Mitschele Individual Corporate DirectorBoard Member Jun 1, 2011
Julie Avila Individual Operational/Managerial Control Sep 25, 2024
Adp of the SNF Sep 26, 2024
Johnny R Prewett Individual Corporate DirectorSecretary/Treasure May 1, 2004
Richland Care Center, Inc. Organization, Richland, MO Corporation, Non-profit Operational/Managerial Control Jan 1, 1966
David Warren Individual Corporate DirectorBoard Member Jan 1, 1978
Kenneth Struckhoff Individual Corporate DirectorPresident Aug 1, 1988
Douglas Jacobson Individual Corporate DirectorBoard Member Jun 1, 2016
Lynn Frederick Individual Corporate DirectorBoard Member Jan 1, 2024
Glenda H Winfrey Individual Corporate DirectorBoard Member May 1, 2019

Practitioners & affiliated clinicians

Practitioners 4

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 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1982748091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560756",
            "telephone_number": "573-765-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TRI-COUNTY LANE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560756",
            "telephone_number": "573-765-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-765-3243"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102607306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MO

Sources for this page

Verify at the official NPI Registry.