Provider Demographics
NPI:1538156211
Name:ADAIR COUNTY NURSING HOME DISTRICT
Entity type:Organization
Organization Name:ADAIR COUNTY NURSING HOME DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BESLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-665-2887
Mailing Address - Street 1:1900 JAMISON ST
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-5302
Mailing Address - Country:US
Mailing Address - Phone:660-665-2887
Mailing Address - Fax:660-665-2328
Practice Address - Street 1:1900 JAMISON ST
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-5302
Practice Address - Country:US
Practice Address - Phone:660-665-2887
Practice Address - Fax:660-665-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO029402314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO101478808Medicaid
MO029402OtherSTATE LICENSE NUMBER
MO30137OtherBCBS PROVIDER NUMBER
MO=========OtherTAX ID NUMBER
MO30137OtherBCBS PROVIDER NUMBER
MO265198Medicare Oscar/Certification