Sturgeon Rest Residential Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STURGEON REST RESIDENTIAL CARE LLC

Practice address

315 E Stone St
Sturgeon, MO 65284-8907

Phone

(573) 687-3012

Fax

(573) 687-3305

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Randy Burke

Title

Owner

Phone

(660) 651-4221

Specialties & licenses 1

Addresses

Other names 1

• Sturgeon Rest Home Former legal business name

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1093340747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "STURGEON",
            "state": "MO",
            "postal_code": "652840328",
            "telephone_number": "573-687-3012",
            "fax_number": "573-687-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E STONE ST",
            "city": "STURGEON",
            "state": "MO",
            "postal_code": "652848907",
            "telephone_number": "573-687-3012",
            "fax_number": "573-687-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURGEON REST RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-651-4221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sturgeon Rest Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Roger a Martin
• Janice Kay Skinner, MA SLP CCC
• Sturgeon Medical Clinic PC
• Sturgeon R-V School
• Sturgeon Rest Home, LLC
• Tri County Medical Clinic P C
• Alan M Weaver, D.O.

• Assisted Living Facility in Sturgeon, MO
• Providers in Sturgeon, 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 3, 2020; 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.