Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SULLIVAN OPERATIONS, LLC
NPI 1568419232
Skilled Nursing Facility in Sullivan, MO

Active since May 28, 2006CLIA 26D0716476 · Waiver
3/5
Overall Rating
875 DUNSFORD DR, SULLIVAN, MO 63080(573) 468-3128(573) 860-3196 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sullivan Operations, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN OPERATIONS, LLC (NPI 1568419232), doing business as Life Care Center Of Sullivan, is a healthcare organization registered as a skilled nursing facility in Sullivan, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Cindy S Cross, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1568419232
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSULLIVAN OPERATIONS, LLC
Location Address875 DUNSFORD DRSullivan, MO 63080-1238
Mailing Address3001 Keith St NwCleveland, TN 37312-3713 · (423) 473-5751 · Fax (423) 339-8342
Fax(573) 860-3196
Organization SubpartNo
Authorized OfficialCindy S CrossAssistant Secretary · (423) 473-5867
Enumeration DateMay 28, 2006
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1568419232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 30676
Definition

(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.

875 DUNSFORD DR, Sullivan, MO 63080

Other Names 1

Doing Business AsLife Care Center Of Sullivan

Other Identifiers 1

Medicaid101763001MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0716476

Life Care Center Of Sullivan · Sullivan, MO
Active · expires Oct 31, 2027
CLIA Number26D0716476
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorMatthew Taylor
Laboratory Phone(573) 468-3128
Laboratory LocationLife Care Center Of Sullivan875 Dunsford Drive, Sullivan, MO 63080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Life Care Center Of Sullivan (CMS certification number 265340), from CMS Care Compare.

Life Care Center Of Sullivan

Nursing home · Sullivan, MO
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number265340
Certified Beds120 beds72 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
65.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2 · LPN 1.05 · RN 0.31
3.37 hrs per resident per day
Weekend Nurse Staffing
3.11 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.9%
Registered Nurse Turnover
55.6%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
2
Fines
1 totaling $3,250.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
875 DUNSFORD DR
SULLIVAN, MO 63080
Physical Therapy Assistant
875 DUNSFORD DR
SULLIVAN, MO 63080
Physical Therapist
875 DUNSFORD DR
SULLIVAN, MO 63080
Speech-Language Pathologist
875 DUNSFORD DR
SULLIVAN, MO 63080
Speech-Language Pathologist
875 DUNSFORD DR
SULLIVAN, MO 63080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Operations, LLC's NPI number?

The NPI number for Sullivan Operations, LLC is 1568419232. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Life Care Center of Sullivan.

Where is Sullivan Operations, LLC located?

Sullivan Operations, LLC is located at 875 Dunsford Dr, Sullivan, MO 63080. The listed phone number is (573) 468-3128.

What is Sullivan Operations, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sullivan Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0716476) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sullivan Operations, LLC a Medicare-certified nursing home?

Yes. Life Care Center Of Sullivan is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Sullivan Operations, LLC have?

CMS rates Life Care Center Of Sullivan 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Sullivan Operations, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Sullivan Operations, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sullivan Operations, LLC was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.