Prairie View Skilled Nursing LLC
Prairie View Skilled Nursing LLC is a healthcare organization registered as Skilled Nursing Facility in Bloomfield, MO, holding Type 2 (organization) NPI 1477008779 since 2016. The authorized official on file is Benjamin Sells, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477008779 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prairie View Skilled Nursing LLC |
| Other name | <Unavail> |
| Practice address | 606 W MISSOURI ST, Bloomfield, MO, 63825 |
| Phone | 5735682137 |
| Fax | 5735689906 |
| Enumeration date | 2016-08-17 |
| Last updated in NPPES | 2024-04-08 |
Authorized official
| Name | Benjamin Sells |
|---|---|
| Title | Ceo |
| Phone | 5737033049 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101456002 | Medicaid | MO | — |
Copy-ready billing details
Provider: Prairie View Skilled Nursing LLC NPI: 1477008779 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 606 W MISSOURI ST, Bloomfield, MO, 63825
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114457041 | Megan Mayhall | Individual | Speech-Language Pathologist | Bloomfield, MO |
Verify this record
Cross-check NPI 1477008779 against the authoritative CMS record: view Prairie View Skilled Nursing LLC 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
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Where is Prairie View Skilled Nursing LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-08.