Organization Active NPI

Vicky L Winick

Doing business as New Horizons RCF II

  • Assisted Living Facility (Mental Illness)
  • Farmington, MO
National Provider Identifier
1285766113
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
031232 Issued in MO
Legal business name
VICKY L WINICK
Doing business as
New Horizons RCF II
Practice address
5858 Busiek Rd
Farmington, MO 63640-7325
Phone
(573) 756-2426
Fax
(573) 756-6774
NPI assigned
Mar 9, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Vicky Lee Winick, MSW
Title
Administrator
Phone
(573) 756-2426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 031232 MO Primary

Addresses

Primary practice location

5858 Busiek Rd
Farmington, MO 63640-7325

Mailing address

PO Box 510
Farmington, MO 63640-0510
Phone (573) 756-2426

Other identifiers 1

IdentifierTypeStateIssuer
267915304MedicaidMO

Other names 1

  • New Horizons RCF II Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1082923New Horizons RCF II/Alf5858 Busiek Road, Farmington, MO 63640Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory

Locations

5858 Busiek Rd
Farmington, MO 63640
Phone (573) 756-2426

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1285766113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400510",
            "telephone_number": "573-756-2426",
            "fax_number": "573-756-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 BUSIEK RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407325",
            "telephone_number": "573-756-2426",
            "fax_number": "573-756-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY L WINICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WINICK",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-756-2426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "031232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267915304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons RCF II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.