Rolling Hills Residential Care Facility, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

040666 Issued in MO

Legal business name

ROLLING HILLS RESIDENTIAL CARE FACILITY, LLC

Practice address

24583 Hwy 5
Milan, MO 63556

Phone

(660) 265-4391

Fax

(660) 265-1070

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa A. Stover

Title

LLC Manager

Phone

(660) 265-4591

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1366786246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24583 HIGHWAY 5",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635562809",
            "telephone_number": "660-265-4391",
            "fax_number": "660-265-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24583 HWY 5",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "63556",
            "telephone_number": "660-265-4391",
            "fax_number": "660-265-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS RESIDENTIAL CARE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "660-265-4591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "040666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kay Scott Et Al PTR
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• Preferred Family Health Care, Inc.
• Qmi LLC
• Kenneth Richards, D.O.
• Alexis Roman
• School Dist 2 Milan
• Gary Ryan Snelling, PTA
• Katelin Rae Spratt I
• Kailee Stephenson, DC

• All providers in Milan, MO
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.