Jefferson Manor Cape Girardeau

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

045706 Issued in MO

Legal business name

JEFFERSON MANOR CAPE GIRARDEAU

Practice address

902 Jefferson Ave
Cape Girardeau, MO 63703-6755

Phone

(573) 651-1373

NPI assigned

Mar 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sharon Armour

Title

Owner

Phone

(573) 651-1373

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1013410059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 JEFFERSON AVE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036755",
            "telephone_number": "573-651-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 JEFFERSON AVE",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036755",
            "telephone_number": "573-651-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MANOR CAPE GIRARDEAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "ARMOUR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-651-1373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "045706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pairote Jaroonwanichkul, MD
• Mary Elizabeth Jarrells, FNP-BC
• Wendy Maria Jauch, APRN
• Michael T Jedlinski, M.D.
• Jefferson Manor
• Curtis Alvin Jefferson, ATC
• Lisa Jeffords
• Dinia R Jenkins, LPC
• Rachael Marie Jenkins, APRN, FNP-BC
• Julie R Jennings, RDH

• Assisted Living Facility in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.