Organization Active NPI

Goff Management LLC Dba Orilla'S Way

  • Assisted Living Facility
  • Grant City, MO
National Provider Identifier
1154097194
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOFF MANAGEMENT LLC DBA ORILLA'S WAY
Practice address
1209 South High Street
Grant City, MO 64456
Phone
(660) 564-2204
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Stephen GoffNPI 1588338560
Title
Lnha
Phone
(660) 541-2471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1209 South High Street
Grant City, MO 64456

Mailing address

18257 Lyon St
Grant City, MO 64456-8226
Phone (166) 054-1247

National Provider Directory

National Provider Directory

Locations

1209 S High St
Grant City, MO 64456
Phone (660) 564-2204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1154097194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18257 LYON ST",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "644568226",
            "telephone_number": "166-054-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SOUTH HIGH STREET",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "64456",
            "telephone_number": "660-564-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOFF MANAGEMENT LLC DBA ORILLA'S WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "LNHA",
        "authorized_official_telephone_number": "660-541-2471"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.