NPIMap

Organization Active NPI

Mennonite Home Association Inc.

Doing business as The Haven Homes

  • Custodial Care Facility
  • Hannibal, MO
National Provider Identifier
1164396073
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
MENNONITE HOME ASSOCIATION INC.
Doing business as
The Haven Homes
Practice address
2500 Pleasant St
Hannibal, MO 63401-2600
Phone
(573) 221-6000
Fax
(573) 221-6000
NPI assigned
Oct 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Kerri Lauterbach
Title
Ceo
Phone
(573) 221-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

2500 Pleasant St
Hannibal, MO 63401-2600

Mailing address

2500 Pleasant St
Hannibal, MO 63401-2600
Phone (573) 221-6000

Other names 1

  • The Haven Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beth Haven Nursing Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2500 Pleasant St
Hannibal, MO 63401
Phone (573) 221-6000

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1164396073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000",
            "fax_number": "573-221-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000",
            "fax_number": "573-221-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE HOME ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "LAUTERBACH",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-221-6000"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.