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Springfield Residential Center , Inc.

Springfield Residential Center , Inc. is a healthcare organization registered as Skilled Nursing Facility in Springfield, MO, holding Type 2 (organization) NPI 1184653297 since 2006. The authorized official on file is Brian Mattox, Administrator.

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NPI 1184653297
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 4178644545
Fax 4178644768
Enumeration date 2006-07-01
Last updated in NPPES 2009-12-08

Authorized official

Name Brian Mattox
Title Administrator
Phone 4178644545

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary MO

Other identifiers

Identifier Type State Issuer
102500303 Medicaid MO
262500309 Medicaid MO
Copy-ready billing details
Provider: Springfield Residential Center , Inc.
NPI: 1184653297
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 2401 W GRAND ST, Springfield, MO, 65802

Providers at this address

NPI Name Type Specialty Location
1871672139 Caroline Janoka-Garner Individual Psychologist Springfield, MO
1982831996 Springfield Healthcare Center LLC Organization Skilled Nursing Facility Springfield, MO
1700186939 Springfield Healthcare Management LLC Organization Skilled Nursing Facility Springfield, MO
1942550322 Kasey Grass Phd LLC Organization Community/Behavioral Health Agency Springfield, MO
1508398884 Patricia Hurst Individual Acute Care Nurse Practitioner Springfield, MO

Verify this record

Cross-check NPI 1184653297 against the authoritative CMS record: view Springfield Residential Center , Inc. on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-08.