Organization Active NPI

Owen Acres LLC

  • Assisted Living Facility
  • Poplar Bluff, MO
National Provider Identifier
1295325843
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OWEN ACRES LLC
Practice address
614 County Road 466
Poplar Bluff, MO 63901-2964
Phone
(573) 778-0497
Fax
(573) 785-9509
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Mrs. Kristin Leeann Switzer, RN
Title
Owner
Phone
(573) 718-3885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

614 County Road 466
Poplar Bluff, MO 63901-2964

Mailing address

614 County Road 466
Poplar Bluff, MO 63901-2964
Phone (573) 778-0497

Other names 1

  • Owen Acres Residential Care Facility 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
26D0967740Owen Acres LLC614 County Road 466, Poplar Bluff, MO 63901Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1295325843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 COUNTY ROAD 466",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012964",
            "telephone_number": "573-778-0497",
            "fax_number": "573-785-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 COUNTY ROAD 466",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012964",
            "telephone_number": "573-778-0497",
            "fax_number": "573-785-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN ACRES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-718-3885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owen Acres Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.