Rydan Enterprises, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

032851 Issued in MO

Legal business name

RYDAN ENTERPRISES, LLC

Practice address

2879 US Highway 67
Farmington, MO 63640-9168

Phone

(573) 756-7566

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Pam King

Title

Owner

Phone

(573) 756-7566

Specialties & licenses 1

Addresses

Other names 1

• Farmington Manor Doing business as

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144348657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 US HIGHWAY 67",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 US HIGHWAY 67",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409168",
            "telephone_number": "573-756-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYDAN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-756-7566"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "032851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Joseph Rudroff, RPH
• Linda D. Russell
• Taylor Rene Russell
• Stacey Nicole Rutledge
• RX, Inc
• Safe Harbor Hospice, Inc.
• Shelton K Sago
• Saint Francis Medical Center
• Kristi Salinas, MD
• Karen E Salsman, LPC

• Home Health Agency in Farmington, MO
• Providers in Farmington, MO by specialty
• Home Health Agency 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.