Jefferson Mo Healthcare, LLC
Skilled Nursing Facility in Jefferson City, MO. Organization (NPI-2).
NPI number1336075993
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1336075993
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson Mo Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2026
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Jefferson City Care & Rehab Center (Doing Business As)
Practice location
1720 Vieth DrJefferson City, MO 65109-2056
Phone 573-635-6193
Mailing address
477 N Lindbergh Blvd Ste 310Saint Louis, MO 63141-7856
Authorized official
Judah Bienstock
Ceo, Managing Member
3146313000
Is something wrong?
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