Spirit 522 Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

LC001439602 Issued in MO

Legal business name

SPIRIT 522 INC

Doing business as

Anna's House Assisted Living Facility

Practice address

25466 Highway 5
Lebanon, MO 65536

Phone

(417) 839-7637

Fax

(417) 473-6000

NPI assigned

Mar 14, 2017

Last updated

Aug 25, 2022By 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

Gail Brown

Title

President

Phone

(417) 839-7637

Specialties & licenses 1

Addresses

Other names 1

• Anna's House Assisted Living Facility Doing business as

Locations

Practitioners 1

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.

• Gail Baldwin, RN CCRN WCC

  • Wound Care Registered Nurse
  • Marshfield, MO
  • NPI 1962894568
  NPD

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1316488075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655360389",
            "telephone_number": "417-839-7637",
            "fax_number": "417-473-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25466 HIGHWAY 5",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "65536",
            "telephone_number": "417-839-7637",
            "fax_number": "417-473-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT 522 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-839-7637"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "LC001439602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna's House Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anna's House Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sena Smith, PLPC
• Shannon Michelle Smith, RD,LD
• Erik Lee Snyder, MD
• Cherie L. Sommer, FNP
• Michael Norman Sommers, OD
• St John's Hospital Lebanon
• St Johns Clinic Inc (SJC-Lebanon-Optometry)
• St. John's Regional Health Center (St. John's Pharmacy-Lebanon)
• Tallie L Stafford, LMSW
• Starla Walton Counseling LLC (Behavioral Health Solutions)

• Nursing Facility/Intermediate Care Facility in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.