Jefferson City Wellness & Rehabilitation LLC
Skilled Nursing Facility in Jefferson City, MO. Organization (NPI-2).
NPI number1992506745
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1992506745
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson City Wellness & Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2025
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
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
- Capitol River Wellness & Rehabilitation (Doing Business As)
Practice location
1221 Southgate LnJefferson City, MO 65109-2465
Phone 573-635-3131
Mailing address
1221 Southgate LnJefferson City, MO 65109-2465
Authorized official
David Garetz
Cfo
3239875954
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.
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