Memory Lane of Dexter, LLC
NPI 1366997678ActiveOrganization· Skilled Nursing Facility· Dexter, MO
Skilled Nursing Facility in Dexter, Missouri, registered in NPPES in August 2016. The authorized official on file is Benjamin P. Sells, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1366997678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2016 |
| Last updated in NPPES | Apr 13, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MO) |
|---|
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