Citizens Memorial Health Care Foundation
NPI 1134109713 · Skilled Nursing Facility · Stockton, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Citizens Memorial Health Care Foundation is a Skilled Nursing Facility organization in Stockton, MO (NPI 1134109713).
Provider details
- NPI number
- 1134109713
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Costello, Administrator(417) 276-5126
- License
- 039681 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Stockton Healthcare Facility
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2011-12-11
Frequently asked questions
- What is Citizens Memorial Health Care Foundation's NPI number?
- Citizens Memorial Health Care Foundation's National Provider Identifier (NPI) is 1134109713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Citizens Memorial Health Care Foundation?
- Citizens Memorial Health Care Foundation is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Citizens Memorial Health Care Foundation located?
- Citizens Memorial Health Care Foundation's practice location on file with NPPES is 811 Owens Mill Rd, Stockton, MO 65785.
- What is Citizens Memorial Health Care Foundation's phone number?
- The practice phone number listed in the NPPES registry for Citizens Memorial Health Care Foundation is (417) 276-5126.
- Does Citizens Memorial Health Care Foundation accept Medicare?
- Citizens Memorial Health Care Foundation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Citizens Memorial Health Care Foundation?
- The authorized official listed on Citizens Memorial Health Care Foundation's NPPES record is Kevin Costello, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Citizens Memorial Health Care Foundation's NPI active?
- Yes — Citizens Memorial Health Care Foundation's NPI (1134109713) is active in the NPPES registry as of the last update on 2011-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.