NPIMap

Organization Active NPI

N & R of Willard LLC

Doing business as Willard Care Center

  • Skilled Nursing Facility
  • Willard, MO
National Provider Identifier
1992134514
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
N & R OF WILLARD LLC
Doing business as
Willard Care Center
Practice address
400 W Walnut LN
Willard, MO 65781-9432
Phone
(417) 741-3593
Fax
(417) 742-0206
NPI assigned
Nov 4, 2013
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Carla Hedrick, CFO
Title
Cfo
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

400 W Walnut LN
Willard, MO 65781-9432

Mailing address

400 W Walnut LN
Willard, MO 65781-9432
Phone (417) 741-3593

Other names 1

  • WILLARD CARE CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 199.119.81.30:8291 Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131209000906 MO Part A Provider - Skilled Nursing Facility 4981831427 Practice locations: Willard, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992134514. Details of each certification follow.

Skilled nursing facility certification: CCN 265455

Legal name
N & R OF WILLARD LLC
Doing business as
WILLARD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 6, 1991
Last certification
May 21, 2024
Beds
66
Ownership / control type
Corporation
Multi-facility organization
HEALTH SYSTEMS INC
Most recent change of ownership
Nov 1, 2013
Organization structure
LLCProprietary
Incorporated
Nov 1, 2013 in MO
Enrollment address
400 W Walnut Lane
Willard, MO 65781-9432
Nursing home name
WILLARD CARE CENTER
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willard Care CenterCCN 265455 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 6, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6652.9 residents per day on average
Chain
James & Judy Lincoln56 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
26D0880320Willard Care Center400 Walnut Lane, Willard, MO 65781Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Joshua Groce Individual W-2 Managing EmployeeAdministrator Jul 16, 2017 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Nov 1, 2013 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Nov 1, 2013 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Nov 1, 2013 50%

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 3

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": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1992134514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W WALNUT LN",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819432",
            "telephone_number": "417-741-3593",
            "fax_number": "417-742-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W WALNUT LN",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819432",
            "telephone_number": "417-741-3593",
            "fax_number": "417-742-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF WILLARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-481-9625",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "199.119.81.30:8291",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 w 108th ter",
            "city": "overland park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WILLARD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willard, MO

Sources for this page

Verify at the official NPI Registry.