SANDRA RAE DIVINE P.T.A
NPI 1932507431
Skilled Nursing Facility in Stockton, MO

Active since December 15, 2014
1015 LANCASTER DR, STOCKTON, MO 65785(417) 276-4531 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra Rae Divine P.t.a NPPES

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

SANDRA RAE DIVINE P.T.A (NPI 1932507431) is an individual skilled nursing facility provider in Stockton, Missouri, licensed in Missouri (115167) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1932507431
Entity TypeIndividualFemale
Primary Taxonomy314000000X
Provider Legal NameSANDRA RAE DIVINECredential: P.T.A
Location Address1015 LANCASTER DRStockton, MO 65785-8360
Mailing Address1015 Lancaster DrStockton, MO 65785-8360 · (417) 276-4531
Sole ProprietorYes
Enumeration DateDecember 15, 2014
NPI 1932507431 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 · 115167
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.
1015 LANCASTER DR, Stockton, MO 65785

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 Sandra Divine's NPI number?

The NPI number for Sandra Divine is 1932507431. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Sandra Divine located?

Sandra Divine practices at 1015 Lancaster Dr, Stockton, MO 65785. The listed phone number is (417) 276-4531.

What is Sandra Divine's specialty?

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

When was this NPI record last updated?

The NPPES record for Sandra Divine was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.