AUTUMN OAKS CARING CENTER
NPI 1669404638
Skilled Nursing Facility in Mountain Grove, MO

Active since July 07, 2006CLIA 26D0897910 · Waiver
1310 N HOVIS ST, MOUNTAIN GROVE, MO 65711(417) 926-5128 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2021, Aug 31, 2017, Jan 3, 2017 and 1 more (4 updates tracked since 2016).

About Autumn Oaks Caring Center NPPES

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

AUTUMN OAKS CARING CENTER (NPI 1669404638) is a healthcare organization registered as a skilled nursing facility in Mountain Grove, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Donald B Bedell, President, as its authorized official.

NPPES Registry Identity

NPI1669404638
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMOUNTAIN GROVE 2 INC
Location Address1310 N HOVIS STMountain Grove, MO 65711-1219
Mailing Address731 N Main St, Po Box 1210Sikeston, MO 63801-2151 · (573) 471-1276
Organization SubpartNo
Authorized OfficialDonald B BedellPresident · (573) 471-1276
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 30, 20214 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1669404638 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 · 044753
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.
1310 N HOVIS ST, Mountain Grove, MO 65711

Other Names 1

Doing Business AsAutumn Oaks Caring Center

Other Identifiers 1

Medicaid101472603MO

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 26D0897910

Autumn Oaks Caring Center · Mountain Grove, MO
Active · expires Feb 16, 2027
CLIA Number26D0897910
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorMikaela Byerley
Laboratory Phone(417) 926-5128
Laboratory LocationAutumn Oaks Caring Center1310 N Hovis St, Mountain Grove, MO 65711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Occupational Therapy Assistant
1310 N HOVIS ST
MOUNTAIN GROVE, MO 65711

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 Mountain Grove 2 Inc's NPI number?

The NPI number for Mountain Grove 2 Inc is 1669404638. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Autumn Oaks Caring Center.

Where is Mountain Grove 2 Inc located?

Mountain Grove 2 Inc is located at 1310 N Hovis St, Mountain Grove, MO 65711. The listed phone number is (417) 926-5128.

What is Mountain Grove 2 Inc's specialty?

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

Does Mountain Grove 2 Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0897910) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Grove 2 Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Mountain Grove 2 Inc 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 Mountain Grove 2 Inc was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.