Mt Vernon Place Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031643 Issued in MO

Legal business name

MT VERNON PLACE CARE CENTER, INC.

Practice address

1425 S Landrum St
Mount Vernon, MO 65712-1912

Phone

(417) 466-2260

Fax

(417) 466-4619

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Christina M Giardina

Title

President

Phone

(636) 394-3000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1366449803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SOVEREIGN CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114432",
            "telephone_number": "636-394-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S LANDRUM ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121912",
            "telephone_number": "417-466-2260",
            "fax_number": "417-466-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT VERNON PLACE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-394-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102976800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missouri Rehabilitation Center
• Missouri Veterans Commission
• Shelby Lauren Moore, PTA
• Motherworks, LLC
• Mount Vernon Eyecare Associates, LLC
• Sandra Nkechi Muoghalu, DDS
• Linda Myers, MD
• Jackie L Norris, PLPC
• Brandon O'Connell, DC
• Oncare

• Skilled Nursing Facility in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.