AMERICARE AT SOUTHBROOK NURSING CENTER, LLC (NPI# 1003190356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003190356 |
| Entity Type | Organization |
| Organization Name | AMERICARE AT SOUTHBROOK NURSING CENTER, LLC |
| Other Organization Name | SOUTHBROOK - SKILLED NURSING BY AMERICARE |
| Practice Address |
1108 W Liberty St Farmington MO 63640-1922 |
| Practice Telephone | 5737566658 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | JAMES REIKER (PRESIDENT) |
| Authorized Official Telephone | 5737566658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Southbrook - Skilled Nursing by Americare | Doing Business As Name - Organization |
| Street Address |
1108 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924800 | Health Services of Farmington, Inc | Skilled Nursing Facility | 1108 W Liberty St, Farmington, MO 63640-1922 | 2005-07-07 |
| 1235774381 | Taylor Rene Russell | Physical Therapist | 1108 W Liberty St, Farmington, MO 63640-1922 | 2019-11-13 |
| 1306335542 | Sarah Elizabeth Flowers | Speech-Language Pathologist | 1108 W Liberty St, Farmington, MO 63640-1922 | 2018-05-03 |
| 1104224302 | Carroll Schuster | Occupational Therapist | 1108 W Liberty St, Farmington, MO 63640-1922 | 2014-12-21 |
| 1619318706 | Carolyn Smith | Physical Therapist | 1108 W Liberty St, Farmington, MO 63640-1922 | 2013-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1164917712 | Welbrook Senior Living Farmington LLC | Skilled Nursing Facility | 201 Nelson Ave, Farmington, NM 87401-3375 | 2018-06-26 |
| 1881110542 | Paige Elizabeth Pachucki | Skilled Nursing Facility | 23026 E Ryer Dr, Farmington, IL 61531-9329 | 2017-08-15 |
| 1043615925 | Shiloh Home Health Inc | Skilled Nursing Facility | 4301 Largo St Ste A, Farmington, NM 87402-8629 | 2014-11-04 |
| 1942362116 | North Country Associates, Inc | Skilled Nursing Facility | 107 Orchard St, Farmington, ME 04938-5962 | 2006-12-14 |
| 1043370273 | North Country Associates, Inc | Skilled Nursing Facility | 221 Fairbanks Rd, Farmington, ME 04938-5723 | 2006-12-11 |
| 1356409767 | Farmington Care Center LLC | Skilled Nursing Facility | 20 Scott Swamp Rd, Farmington, CT 06032-2825 | 2006-12-05 |
| 1578674404 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 500 Cayce St, Farmington, MO 63640-2910 | 2006-08-31 |
| 1760422596 | Farmington Operations LLC | Skilled Nursing Facility | 1101 W Murray Dr, Farmington, NM 87401-3845 | 2006-06-08 |
| 1336194612 | Five Star Quality Care-mi LLC | Skilled Nursing Facility | 34225 Grand River Ave, Farmington, MI 48335-3440 | 2006-05-24 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.