Tessland Residential Care Facility LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

TESSLAND RESIDENTIAL CARE FACILITY LLC

Practice address

24583 Highway 5
Milan, MO 63556-2809

Phone

(660) 265-4391

NPI assigned

May 13, 2021

Last updated

May 13, 2021By 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

Teresa Couch, RN

Title

Owner / Manager

Phone

(660) 292-4585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1376117465",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24583 HIGHWAY 5",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635562809",
            "telephone_number": "660-265-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSLAND RESIDENTIAL CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "660-292-4585",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan County Memorial Hospital
• Sullivan County Memorial Hospital
• Sullivan County Memorial Hospital (Sullivan County Pharmacy)
• Sullivan County Memorial Hospital
• Sullivan County Memorial Hospital (Sullivan County Memorial Hospital Milan Family Practice)
• Anthony Charles Vansoest, D.M.D.
• Amanda Dawn Wilford, FNP-BC
• Michele Lyn Williams, P.T.
• Ryan Williams, M.D.
• Thomas Edwin Williams, D.O.

• Assisted Living Facility (Mental Illness) in Milan, MO
• Providers in Milan, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.