MEDICARE: SCOTT COUNTY REST HOME INC

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
2	313M00000X	Nursing Facility/Intermediate Care Facility	N086001	KS

General Provider Information

NPI Number	:	1417946187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT COUNTY REST HOME INC

Provider Business Mailing Address
First Line	:	210 E PARK LN
Second Line	:
City	:	SCOTT CITY
State	:	KS
Zip	:	67871-1960
Country	:	US
Telephone Number	:	620-872-5871
Fax Number	:	620-872-2128

Provider Business Practice Location Address
First Line	:	210 E PARK LN
Second Line	:
City	:	SCOTT CITY
State	:	KS
Zip	:	67871-1960
Country	:	US
Telephone Number	:	620-872-5871
Fax Number	:	620-872-2128

Authorized Official
Title or Position	:	LICENSED NURSING HOME ADMINISTRATOR
Name	:	KARYN HENDRIX
Credential	:
Telephone Number	:	620-872-5871

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	08/13/2025

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Directions to “SCOTT COUNTY REST HOME INC ” Practice Location

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