Organization Active NPI

Farmington Assisted Living Center, LLC

  • Assisted Living Facility (Mental Illness)
  • Farmington, MO
National Provider Identifier
1356184162
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
FARMINGTON ASSISTED LIVING CENTER, LLC
Practice address
2879 US Highway 67
Farmington, MO 63640-9168
Phone
(573) 760-9376
Fax
(573) 760-9386
NPI assigned
Jun 18, 2024
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Karen Eileen Veach
Title
Owner
Phone
(573) 760-9376

Specialties & licenses 1

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

Addresses

Primary practice location

2879 US Highway 67
Farmington, MO 63640-9168

Mailing address

PO Box 272
Farmington, MO 63640-0272
Phone (573) 760-9376

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
26D0957010Farmington Assisted Living Center, LLC2879 US Hwy 67, Farmington, MO 63640Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

2879 US Highway 67
Farmington, MO 63640
Phone (573) 756-7566

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1356184162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400272",
            "telephone_number": "573-760-9376",
            "fax_number": "573-760-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 US HIGHWAY 67",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636409168",
            "telephone_number": "573-760-9376",
            "fax_number": "573-760-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON ASSISTED LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "VEACH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-760-9376"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2024; 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.