El Dorado Springs Residential Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

037718 Issued in MO

Legal business name

EL DORADO SPRINGS RESIDENTIAL CARE

Practice address

805 N Jackson St
El Dorado Springs, MO 64744-2912

Phone

(417) 876-4278

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 2010By 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

Ann L Amos

Title

Owner

Phone

(417) 876-4278

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1083946677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N JACKSON ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442912",
            "telephone_number": "417-876-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N JACKSON ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442912",
            "telephone_number": "417-876-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO SPRINGS RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-876-4278"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "037718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Cedar Missouri (Cedar County Health Department)
• Garrett Craigmiles, DDS
• John Michael Dandurand, PHD, LPC
• Ashley N Daniels, LCSW
• El Dorado Springs Family Chiropractic, LLC
• El Dorado Vision LLC (Vision Source El Dorado Springs)
• Ep Evans Drug, Inc (Physicians Medical Equipment and Supplies)
• McKensi Lyn Fast, RDH
• Sharon Ann Foreman, RN
• Cathy L Frier, O.D.

• Custodial Care Facility in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Custodial Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.