NPIMap

Organization Active NPI

BGC Health Care Services, Inc.

Doing business as Joe Clark Residential Care Home

  • Assisted Living Facility
  • Nevada, MO
National Provider Identifier
1346531415
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
038772 Issued in MO
Legal business name
BGC HEALTH CARE SERVICES, INC.
Doing business as
Joe Clark Residential Care Home
Practice address
1495 E Ashland St
Nevada, MO 64772-4016
Phone
(417) 667-5000
Fax
(417) 667-5059
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Mr. Barry Gene Clark, LICENSED NHA
Title
President/Secretary
Phone
(417) 321-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 038772 MO Primary

Addresses

Primary practice location

1495 E Ashland St
Nevada, MO 64772-4016

Mailing address

PO Box E
Nevada, MO 64772-0934
Phone (417) 321-0033

Other names 1

  • Joe Clark Residential Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1346531415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX E",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647720934",
            "telephone_number": "417-321-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 E ASHLAND ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724016",
            "telephone_number": "417-667-5000",
            "fax_number": "417-667-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGC HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "417-321-0033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "038772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe Clark Residential Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.