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Eldercare Of Mid-Missouri X, INC

Skilled Nursing Facility in Jefferson City, MO. Organization (NPI-2).

NPI number1982901609
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1982901609
Entity type
Organization (NPI-2)
Legal business name
Eldercare Of Mid-Missouri X, INC
Organization subpart
No
Enumeration date
Feb 15, 2011
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - SKILLED NURSING FACILITY
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 codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility–MOYes

Other names

  • Stonebridge Adams Street (Doing Business As)

Practice location

1024 Adams St
Jefferson City, MO 65101-3408

Phone 573-635-1320 · Fax 573-634-3944

Mailing address

1024 Adams St
Jefferson City, MO 65101-3408

Phone 636-477-3280 · Fax 636-477-3241

Authorized official

Mark Lierman
Authorized Official
6364773280

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Skilled Nursing Facility providers in Jefferson City, MO

All 18 Skilled Nursing Facility providers in Jefferson City · All 1,897 providers in Jefferson City

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