Samuel & Jill Hieronymus

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033834 Issued in MO

Legal business name

SAMUEL & JILL HIERONYMUS

Doing business as

Royal Oaks Residence

Practice address

507 E Marshall St
Sweet Springs, MO 65351-9759

Phone

(660) 335-6500

Fax

(660) 335-6656

NPI assigned

May 3, 2007

Last updated

Apr 2, 2015By 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

Mrs. Jill Hieronymus, RN

Title

Owner

Phone

(660) 335-6500

Specialties & licenses 1

Addresses

Other names 1

• Royal Oaks Residence Doing business as

Tax ID family

Samuel and Jill Hieronymus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Samuel and Jill Hieronymus

  dba Twin Oaks Independent Living

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sweet Springs, MO
  • NPI 1497982417
  NPD tax ID
• Samuel and Jill Hieronymus

  dba Twin Oaks Independent Living II

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Warsaw, MO
  • NPI 1790138956
  NPD tax ID

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1134341647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E MARSHALL ST",
            "address_2": "PO BOX 204",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653519759",
            "telephone_number": "660-335-6500",
            "fax_number": "660-335-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E MARSHALL ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653519759",
            "telephone_number": "660-335-6500",
            "fax_number": "660-335-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL & JILL HIERONYMUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "HIERONYMUS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-335-6500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oaks Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Outsourcing Services, LLC
• Jennifer Miller
• Missouri Valley Physicians P C
• N & R of Sweet Springs, Inc. (Sweet Springs Villa)
• Ronald L Hinton DDS PC
• Samuel and Jill Hieronymus (Twin Oaks Independent Living)
• Shirley Romarate Sumilang, PT
• Sweet Springs Ambulance District
• Sweet Springs Ambulance District
• Sweet Springs Life Recovery Inc

• Assisted Living Facility in Sweet Springs, MO
• Providers in Sweet Springs, 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 Apr 2, 2015; 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.