MEDICARE: SOUTH HAMPTON REHABILITATION & HEALTH CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1093668204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH HAMPTON REHABILITATION & HEALTH CARE CENTER

Provider Business Mailing Address
First Line	:	4700 BRANDON WOODS ST
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-7169
Country	:	US
Telephone Number	:	573-874-3674
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 BRANDON WOODS ST
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-7169
Country	:	US
Telephone Number	:	573-874-3674
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOSEPH C TUTERA SR.
Credential	:
Telephone Number	:	816-444-0900

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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