Barnabas #3 LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

041322 Issued in MO

Legal business name

BARNABAS #3 LLC

Practice address

203 Franks LN
Cape Girardeau, MO 63701-8439

Phone

(573) 334-8145

NPI assigned

Oct 23, 2014

Last updated

Oct 23, 2014By 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

Michael Ewing

Title

President and Ceo

Phone

(913) 416-2232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1245635028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25896 PLEASANT VALLEY RD",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660928307",
            "telephone_number": "913-416-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FRANKS LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018439",
            "telephone_number": "573-334-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNABAS #3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "913-416-2232"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "041322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Jacob Bandermann, MPT
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• Karin L Barnes, M.D.
• Alan R Barnette, MD
• Carisa Nicole Barnhill, DO
• Enda Barrett

• Assisted Living Facility (Mental Illness) in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.