Gasconade Terrace Retirement Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032841 Issued in MO

Legal business name

GASCONADE TERRACE RETIREMENT CENTER

Practice address

1930 Nursing Home Road
Owensville, MO 65066

Phone

(573) 437-4833

Fax

(573) 437-7416

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Mrs. Tammy L Smith, LPN

Title

Director

Phone

(573) 437-4833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "650660520",
            "telephone_number": "573-437-4833",
            "fax_number": "573-437-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NURSING HOME ROAD",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "65066",
            "telephone_number": "573-437-4833",
            "fax_number": "573-437-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASCONADE TERRACE RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-437-4833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldercare of Mid-Missouri Xiv Inc. (StoneBridge Owensville)
• Kellie Christina Elmore, P.T.
• Gasconade County Board for Services for the Developmentally Disabled (Gasconade County Special Services)
• Gasconade Manor NRSG Home
• Gasconade Manor Nursing Home District
• Claire Glaser
• Emma Amalia Godat, DPT
• Marty Joseph Green, PTA
• Paige Hammer
• Keri Ann Headrick, LPN

• Assisted Living Facility in Owensville, MO
• Providers in Owensville, 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 Aug 22, 2020; 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.