JEFFERSON CITY NURSING AND REHABILITATION CENTER, LLC
NPI 1952476343
Skilled Nursing Facility in Jefferson City, MO

Active since November 21, 2006CLIA 26D0991438 · Waiver
1221 SOUTHGATE LN, JEFFERSON CITY, MO 65109(573) 635-3131(573) 635-4226 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson City Nursing And Rehabilitation Center, Llc NPPES

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

JEFFERSON CITY NURSING AND REHABILITATION CENTER, LLC (NPI 1952476343) is a healthcare organization registered as a skilled nursing facility in Jefferson City, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Norbert A Bennett, Co-chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1952476343
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEFFERSON CITY NURSING AND REHABILITATION CENTER, LLC
Location Address1221 SOUTHGATE LNJefferson City, MO 65109-2465
Mailing AddressPo Box 428Orchard Park, NY 14127-0428 · (716) 662-4955 · Fax (716) 667-9230
Fax(573) 635-4226
Organization SubpartNo
Authorized OfficialNorbert A BennettCo-chief Executive Officer · (716) 662-4955
Enumeration DateNovember 21, 2006
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
NPI 1952476343 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 · 033026
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.
1221 SOUTHGATE LN, Jefferson City, MO 65109

Other Identifiers 1

Medicaid101764306MO

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 26D0991438

Jefferson City Nursing & Rehabilitation · Jefferson City, MO
Active · expires Sep 19, 2027
CLIA Number26D0991438
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorBrandy Parker
Laboratory Phone(573) 635-3131
Laboratory LocationJefferson City Nursing & Rehabilitation1221 Southgate Lane, Jefferson City, MO 65109
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Occupational Therapy Assistant
1221 SOUTHGATE LN
JEFFERSON CITY, MO 65109
Skilled Nursing Facility
1221 SOUTHGATE LN
JEFFERSON CITY, MO 65109

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 Jefferson City Nursing And Rehabilitation Center, LLC's NPI number?

The NPI number for Jefferson City Nursing And Rehabilitation Center, LLC is 1952476343. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Jefferson City Nursing And Rehabilitation Center, LLC located?

Jefferson City Nursing And Rehabilitation Center, LLC is located at 1221 Southgate Ln, Jefferson City, MO 65109. The listed phone number is (573) 635-3131.

What is Jefferson City Nursing And Rehabilitation Center, LLC's specialty?

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

Does Jefferson City Nursing And Rehabilitation Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0991438) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson City Nursing And Rehabilitation Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company and 2 other insurers list Jefferson City Nursing And Rehabilitation Center, 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 Jefferson City Nursing And Rehabilitation Center, LLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.