CAMERON NURSING AND REHABILITATION CENTER, LLC (NPI# 1528184017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528184017 |
| Entity Type | Organization |
| Organization Name | CAMERON NURSING AND REHABILITATION CENTER, LLC |
| Other Organization Name | CAMERON NURSING AND REHABILITATION CENTER |
| Practice Address |
801 Euclid Ave Cameron MO 64429-0438 |
| Mailing Address |
801 Euclid Ave Po Box 438 Cameron MO 64429-0438 |
| Practice Telephone | 8166327254 |
| Practice Fax Number | 8166323757 |
| Mailing Telephone | 8166327254 |
| Mailing Fax Number | 8166323757 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 042604 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101476703 | 05 |
| Other Name | Type Code |
|---|---|
| Cameron Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
801 EUCLID AVE |
| City | CAMERON |
| State | MO |
| Zip Code | 64429-0438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477644714 | Mld Healthcare LLC | Skilled Nursing Facility | 801 Euclid Ave, Cameron, MO 64429-2003 | 2006-09-28 |
| 1790222388 | Nursing & Rehab At Cameron LLC | Skilled Nursing Facility | 801 Euclid Ave, Cameron, MO 64429-2003 | 2017-01-20 |
| 1649669532 | Bonnie Lou Cox | Occupational Therapy Assistant | 801 Euclid Ave, Cameron, MO 64429-2003 | 2015-01-14 |
| 1972991297 | Molley Ann Newsome | Physical Therapist | 801 Euclid Ave, Cameron, MO 64429-2003 | 2015-01-08 |
| 1851789374 | Brian Holaday | Physical Therapy Assistant | 801 Euclid Ave, Cameron, MO 64429-2003 | 2015-01-06 |
| 1891183570 | Dana Goble | Physical Therapy Assistant | 801 Euclid Ave, Cameron, MO 64429-2003 | 2015-01-02 |
| 1780072694 | Nicole Elaine Owen | Physical Therapy Assistant | 801 Euclid Ave, Cameron, MO 64429-2003 | 2014-12-30 |
| 1548658735 | Marilyn Katherin Bouldin | Physical Therapy Assistant | 801 Euclid Ave, Cameron, MO 64429-2003 | 2014-12-23 |
| 1811123508 | Jessica R Morrison | Occupational Therapist | 801 Euclid Ave, Cameron, MO 64429-2003 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| 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 |
|---|---|---|---|---|
| 1982760807 | Cameron Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | Road 4 Box 20, Cameron, WV 26033 | 2006-12-28 |
| 1477644714 | Mld Healthcare LLC | Skilled Nursing Facility | 801 Euclid Ave, Cameron, MO 64429-2003 | 2006-09-28 |
| 1194757112 | Cameron No 1 Inc | Skilled Nursing Facility | 1405 W Grand Ave, Cameron, MO 64429 | 2006-07-07 |
| 1871581439 | Winnie L. Nursing Facility | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2005-10-07 |
| 1457856775 | Cameron Opco LLC | Skilled Nursing Facility | 2202 N Travis Ave, Cameron, TX 76520 | 2018-03-28 |
| 1689112377 | South Limestone Hospital District | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2017-02-02 |
| 1790222388 | Nursing & Rehab At Cameron LLC | Skilled Nursing Facility | 801 Euclid Ave, Cameron, MO 64429-2003 | 2017-01-20 |
| 1841621026 | Jc-pc, Inc | Skilled Nursing Facility | 2202 N Travis Ave, Cameron, TX 76520-1665 | 2013-12-12 |
| 1447520929 | Sun Lakes Physical Therapy | Skilled Nursing Facility | 1111 Euclid Ave, Cameron, MO 64429-2005 | 2011-12-30 |
| 1154607661 | Winnie L Ltc Partners, Inc. | Skilled Nursing Facility | 2104 N Karnes Ave, Cameron, TX 76520-1055 | 2011-10-28 |
| Find all providers in CAMERON | ||||
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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.