Healthcare Provider Details

I. General information

NPI: 1083567291
Provider Name (Legal Business Name): STRAFFORD REHABILITATION & HEALTH CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W EVERGREEN ST
STRAFFORD MO
65757-8625
US

IV. Provider business mailing address

505 W EVERGREEN ST
STRAFFORD MO
65757-8625
US

V. Phone/Fax

Practice location:
  • Phone: 417-736-9332
  • Fax:
Mailing address:
  • Phone: 417-736-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH C TUTERA SR.
Title or Position: MANAGER
Credential:
Phone: 816-444-0900