NPIMap

Organization Active NPI

Patricia's Residential Care Facility

  • Assisted Living Facility
  • Annapolis, MO
National Provider Identifier
1356450506
Registry record updated Jul 22, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
031336 Issued in MO
Legal business name
PATRICIA'S RESIDENTIAL CARE FACILITY
Practice address
510 E 2ND St
Annapolis, MO 63620-9104
Phone
(573) 598-4202
Fax
(573) 598-3885
NPI assigned
Aug 30, 2006
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mrs. Chevis Michelle Alcorn
Title
Owner
Phone
(573) 598-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 031336 MO Primary

Addresses

Primary practice location

510 E 2ND St
Annapolis, MO 63620-9104

Mailing address

510 E 2ND St
Annapolis, MO 63620-9104
Phone (573) 598-4202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1356450506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 2ND ST",
            "city": "ANNAPOLIS",
            "state": "MO",
            "postal_code": "636209104",
            "telephone_number": "573-598-4202",
            "fax_number": "573-598-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 2ND ST",
            "city": "ANNAPOLIS",
            "state": "MO",
            "postal_code": "636209104",
            "telephone_number": "573-598-4202",
            "fax_number": "573-598-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA'S RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "CHEVIS",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-598-4202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.