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Springfield Residential Center , Inc.

Skilled Nursing Facility in Springfield, MO · enumerated 2006 · authorized official Brian Mattox, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184653297

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Registry record

Entity type Organization (Type 2)
Legal business name Springfield Residential Center , Inc.
Other name <Unavail>
Practice address 2401 W Grand St, Springfield, MO, 65802
Phone (417) 864-4545
Fax (417) 864-4768
Enumeration date Jul 1, 2006
Last updated in NPPES Dec 8, 2009

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Brian Mattox
Title Administrator
Phone (417) 864-4545

Other identifiers

Identifier Type State Issuer
102500303 Medicaid MO -
262500309 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Springfield Residential Center , Inc.?
NPPES lists Brian Mattox (Administrator) as the authorized official for this organization.
What is the NPI number for Springfield Residential Center , Inc.?
The NPI for Springfield Residential Center , Inc. is 1184653297, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-08.