Four Seasons of Adrian, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FOUR SEASONS OF ADRIAN, LLC

Practice address

303 W Main St
Adrian, MO 64720-9217

Phone

(816) 805-0319

Fax

(816) 297-8787

NPI assigned

Jan 10, 2019

Last updated

Feb 12, 2019By 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

Mrs. Emily K Ledesma

Title

Director

Phone

(816) 805-0319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1255804472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647200064",
            "telephone_number": "816-805-0319",
            "fax_number": "816-297-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W MAIN ST",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647209217",
            "telephone_number": "816-805-0319",
            "fax_number": "816-297-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS OF ADRIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-805-0319",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Adrian - Adrian Manor Health and Rehab
• Hannah Elizabeth Clayton
• D&S Health Partners, LLC
• D&S Health Partners, LLC (Summers Pharmacy of Adrian)
• Erma Louise Davis, CPTA
• George Glenn Gardner, PA-C
• Tiffany Hendricks, LCSW
• Heidi Hendrickson, COTA/L
• Monique A Hill, COTA/L
• Lynn A Hines

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, MO
• Providers in Adrian, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.