Victorian Manor of Washington Memory Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VICTORIAN MANOR OF WASHINGTON MEMORY CARE INC.

Doing business as

Victorian Manor of Washington Memory Care

Practice address

1015 Springfield Rd
Owensville, MO 65066-2354

Phone

(573) 437-2103

Fax

(573) 437-2219

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By 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

Nancy Quick

Title

Secretary

Phone

(573) 437-2103

Specialties & licenses 1

Addresses

Other names 1

• Victorian Manor of Washington Memory Care Doing business as

Locations

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1215202965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 RABBIT TRAIL DRIVE",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906737",
            "telephone_number": "636-390-0011",
            "fax_number": "636-390-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SPRINGFIELD RD",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "650662354",
            "telephone_number": "573-437-2103",
            "fax_number": "573-437-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN MANOR OF WASHINGTON MEMORY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "573-437-2103"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorian Manor of Washington Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Owensville, MO
• Providers in Owensville, 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 Mar 14, 2012; 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.