Memory Lane of Dexter, LLC
NPI 1366997678 · Skilled Nursing Facility · Dexter, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Memory Lane of Dexter, LLC is a Skilled Nursing Facility organization in Dexter, MO (NPI 1366997678).
Provider details
- NPI number
- 1366997678
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Sells, Ceo(573) 614-7472
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
9 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
- Memory Lane of Dexter
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Frequently asked questions
- What is Memory Lane of Dexter, LLC's NPI number?
- Memory Lane of Dexter, LLC's National Provider Identifier (NPI) is 1366997678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memory Lane of Dexter, LLC?
- Memory Lane of Dexter, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Memory Lane of Dexter, LLC located?
- Memory Lane of Dexter, LLC's practice location on file with NPPES is 415 S Catalpa St, Dexter, MO 63841-2017.
- What is Memory Lane of Dexter, LLC's phone number?
- The practice phone number listed in the NPPES registry for Memory Lane of Dexter, LLC is (573) 624-7491.
- Does Memory Lane of Dexter, LLC accept Medicare?
- Memory Lane of Dexter, LLC 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 Memory Lane of Dexter, LLC?
- The authorized official listed on Memory Lane of Dexter, LLC's NPPES record is Benjamin Sells, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memory Lane of Dexter, LLC's NPI active?
- Yes — Memory Lane of Dexter, LLC's NPI (1366997678) is active in the NPPES registry as of the last update on 2023-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.