Grove Development Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GROVE DEVELOPMENT OPERATIONS LLC

Doing business as

Wedgewood Gardens

Practice address

17996 Business 13
Reeds Spring, MO 65737-9663

Phone

(417) 272-6666

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vance Earl Fager

Title

Owner

Phone

(208) 371-0158

Specialties & licenses 1

Addresses

Other names 1

• Wedgewood Gardens Doing business as

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1043088024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16404 NE 127TH ST",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608969",
            "telephone_number": "208-371-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17996 BUSINESS 13",
            "city": "REEDS SPRING",
            "state": "MO",
            "postal_code": "657379663",
            "telephone_number": "417-272-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE DEVELOPMENT OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "FAGER",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-371-0158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgewood Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Reeds Spring, MO
• Providers in Reeds Spring, 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 Dec 19, 2023; 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.