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Supplemental Heath Care

NPI 1346369261ActiveOrganization· Skilled Nursing Facility· Fenton, MO

Skilled Nursing Facility in Fenton, Missouri, registered in NPPES in March 2007. The authorized official on file is Mary Nicole Kiser, OTR, Occupational Therapist.

Overview

NPI1346369261
StatusActive
Entity typeOrganization
NPI issuedMar 29, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X2002015687MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Fenton

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