Lynn'S Heritage House, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

025974 Issued in MO

Legal business name

LYNN'S HERITAGE HOUSE, INC

Practice address

800 Kelly LN
Louisiana, MO 63353-2415

Phone

(573) 754-4020

Fax

(573) 754-4306

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Karen Ruth Lynn, RN

Title

Administrator

Phone

(573) 754-4020

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124234299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KELLY LN",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532415",
            "telephone_number": "573-754-4020",
            "fax_number": "573-754-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KELLY LN",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532415",
            "telephone_number": "573-754-4020",
            "fax_number": "573-754-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN'S HERITAGE HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-754-4020",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "025974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Francis Justice, D.O.
• Sudhir Kapoor, MBBS, MD, ABIM.
• Lab One LLC
• Louisiana R-II District
• John P Lynn, RPH
• Margaret Therese Marden, P.T.
• Martella Emergency Group LLC
• Missouri Medical Transportation
• Laura J Mitchell, MD
• Jennifer L Mollerus

• Assisted Living Facility in Louisiana, MO
• Providers in Louisiana, 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 Aug 22, 2020; 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.