Community Manor, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

031313 Issued in MO

Legal business name

COMMUNITY MANOR, LLC

Practice address

783 Weber Rd
Farmington, MO 63640

Phone

(573) 756-8998

Fax

(573) 756-8980

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sharo Shirshekan

Title

Ceo/Managing Member

Phone

(573) 701-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134212822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-701-0600",
            "fax_number": "573-701-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-8998",
            "fax_number": "573-756-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRSHEKAN",
        "authorized_official_first_name": "SHARO",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "573-701-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Joyce Coleman, DO
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• Kimberly D Combs, NP
• Lilly Anne Combs
• Kelsey Comer
• Community Manor, LLC
• Community Orthopedics & Sports Medicine, PC
• Complex Healthcare of Farmington LLC
• Taylor Cook, RDN
• John David Edward Cooper, MD

• Assisted Living Facility in Farmington, MO
• Providers in Farmington, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.