Stoney Ridge Village I LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STONEY RIDGE VILLAGE I LLC

Practice address

25023 Bothwell Park Rd
Sedalia, MO 65301-0084

Phone

(660) 827-3993

NPI assigned

Aug 19, 2024

Last updated

Jan 30, 2025By 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

Raquel Edery

Title

Owner

Phone

(516) 708-3503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1336971233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTRAL AVE UNIT 215",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25023 BOTHWELL PARK RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010084",
            "telephone_number": "660-827-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEY RIDGE VILLAGE I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "EDERY",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-708-3503"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Steck
• Joseph Lyle Stegman, MD
• Emily Stenger, LMSW
• Stephanie Sutherland Pmhnp-BC, Inc.
• Logan Scott Stiens, MD
• Evan Ray Stout, M.D.
• Christa N Strickland, PLMFT
• Thomas Joseph Strouse, D.C.
• Mandy Elaine Stuckey
• Sugarshir Inc (Medicine Store)

• Assisted Living Facility in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.