WAYNESVILLE MEDICAL INVESTORS, LLC (NPI# 1386691913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386691913 |
Entity Type | Organization |
Organization Name | WAYNESVILLE MEDICAL INVESTORS, LLC |
Other Organization Name | LIFE CARE CENTER OF WAYNESVILLE |
Practice Address |
700 Birch Ln Waynesville MO 65583-2275 |
Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
Practice Telephone | 5737746456 |
Practice Fax Number | 5737746778 |
Mailing Telephone | 4234735751 |
Mailing Fax Number | 4233398342 |
Enumeration Date | 2006-05-28 |
Last Update Date | 2008-02-12 |
Authorized Official Name | CINDY S CROSS (ASSISTANT SECRETARY) |
Authorized Official Telephone | 4234735867 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 29823 | MO | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Life Care Center of Waynesville | Doing Business As Name - Organization |
Street Address |
700 BIRCH LN |
City | WAYNESVILLE |
State | MO |
Zip Code | 65583-2275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457688749 | Melinda Ferguson | Physical Therapist | 700 Birch Ln, Waynesville, MO 65583-2275 | 2009-11-08 |
1811105612 | Jaqueline A Bodkin | Physical Therapy Assistant | 700 Birch Ln, Waynesville, MO 65583-2275 | 2007-05-18 |
1689882482 | Shelly Lynn Patterson | Occupational Therapy Assistant | 700 Birch Ln, Waynesville, MO 65583-2275 | 2007-05-18 |
1568670362 | Ma Sanchez | Occupational Therapist | 700 Birch Ln, Waynesville, MO 65583-2275 | 2007-05-18 |
1457569261 | Andrew John Snyder | Physical Therapy Assistant | 700 Birch Ln, Waynesville, MO 65583-2275 | 2007-05-18 |
1972711778 | Cynthia Sue Reed | Speech-Language Pathologist | 700 Birch Ln, Waynesville, MO 65583-2275 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
Find all providers in zip 65583 |
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 |
---|---|---|---|---|
1477953982 | Gateway Rehabilation | Skilled Nursing Facility | 68 Old Country Rd, Waynesville, NC 28786-9500 | 2014-09-03 |
1861504946 | Snowshoe Ltc Group, LLC | Skilled Nursing Facility | 1349 Crabtree Rd, Waynesville, NC 28785-7315 | 2006-08-31 |
1821063975 | The Friends Home of The Ohio Valley Yearly Meeting of The Religious So | Skilled Nursing Facility | 514 High St, Waynesville, OH 45068-9784 | 2006-02-22 |
1528044294 | Autumn Corporation | Skilled Nursing Facility | 370 Old Balsam Rd, Waynesville, NC 28786-8097 | 2005-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
Find all providers with the same taxonomy |
City | WAYNESVILLE |
Zip Code | 65583 |
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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.