Michele Vinson Investments LLC Dba Bolivar Manor House

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

MICHELE VINSON INVESTMENTS LLC DBA BOLIVAR MANOR HOUSE

Practice address

404 E Broadway St
Bolivar, MO 65613-2019

Phone

(417) 327-5790

Fax

(417) 326-3839

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Michele Ruthanne Vinson, MEMBER

Title

Administrator

Phone

(417) 327-5790

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1245893296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130175",
            "telephone_number": "417-327-5790",
            "fax_number": "417-326-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132019",
            "telephone_number": "417-327-5790",
            "fax_number": "417-326-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE VINSON INVESTMENTS LLC DBA BOLIVAR MANOR HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "RUTHANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-327-5790",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MEMBER"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia B McQueary, PSY.D.
• Dana M Meents, M.D.
• Retha Marceleen Melton, PA-C
• Menm, LLC
• Emiliy Mesecher, PT, DPT
• Jessica Lynn Miller, RD/LD
• Tommie L Miller, LCSW
• Missouri Speech Therapy
• Cynthia Diane Mitchell, RN, BSN
• Coral Molina, DO

• Assisted Living Facility (Mental Illness) in Bolivar, MO
• Providers in Bolivar, 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 Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.