Licking No 1 LLC
Licking No 1 LLC is a healthcare organization registered as Skilled Nursing Facility in Licking, MO, holding Type 2 (organization) NPI 1912424607 since 2017. The authorized official on file is Donald Bedell, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912424607 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Licking No 1 LLC |
| Other name | <Unavail> |
| Practice address | 209 HICKORY ST, Licking, MO, 65542 |
| Phone | 5736742111 |
| Enumeration date | 2017-08-24 |
| Last updated in NPPES | 2018-08-24 |
Authorized official
| Name | Donald Bedell |
|---|---|
| Title | President |
| Phone | 5734711276 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 046854 | MO |
Copy-ready billing details
Provider: Licking No 1 LLC NPI: 1912424607 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 209 HICKORY ST, Licking, MO, 65542
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609996222 | Community Care Center of Licking Inc | Organization | Skilled Nursing Facility | Licking, MO |
| 1912226036 | Melinda Poland | Individual | Speech-Language Pathologist | Licking, MO |
Verify this record
Cross-check NPI 1912424607 against the authoritative CMS record: view Licking No 1 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
What type of organization is Licking No 1 LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-24.