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Contact Information

N & R OF GREENVILLE, INC.
SYCAMORE ST
GREENVILLE, MO63944
 Phone: 573-224-3298
 Fax: 573-224-5338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for N & R OF GREENVILLE, INC.

NPI # 1073509345
LBN Legal business name N & R OF GREENVILLE, INC.
Authorized official THOMAS HUDSPETH - (COO CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2005
Last updated 04/25/2008 - About 18 years ago
Identifiers
MO License # 029954
MO Medicaid 102758307
MO Other 16877942 STATE ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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