NPIMap

Organization Active NPI

Mark Twain Assisted Living Inc

  • Assisted Living Facility
  • Moberly, MO
National Provider Identifier
1184798902
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
043065 Issued in MO
Legal business name
MARK TWAIN ASSISTED LIVING INC
Practice address
901 Union Ave
Moberly, MO 65270-2456
Phone
(660) 263-6515
Fax
(660) 263-0603
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mrs. Kathryn L Miller
Title
Owner
Phone
(660) 263-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 043065 MO Primary

Addresses

Primary practice location

901 Union Ave
Moberly, MO 65270-2456

Mailing address

901 Union Ave
Moberly, MO 65270-2456
Phone (660) 263-6515

National Provider Directory

National Provider Directory
Tax ID family
Mark Twain Assisted Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1184798902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702456",
            "telephone_number": "660-263-6515",
            "fax_number": "660-263-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702456",
            "telephone_number": "660-263-6515",
            "fax_number": "660-263-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TWAIN ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-263-6515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "043065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.