NPIMap

Organization Active NPI

Mennonite Home Association, Inc

  • Assisted Living Facility
  • Hannibal, MO
National Provider Identifier
1386851939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
034045 Issued in MO
Legal business name
MENNONITE HOME ASSOCIATION, INC
Doing business as
Pleasant View
Practice address
641 Euclid Avenue
Hannibal, MO 63401
Phone
(573) 406-1090
Fax
(573) 221-6172
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Ewert
Title
Chief Executive Officer
Phone
(573) 221-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 034045 MO Primary

Addresses

Primary practice location

641 Euclid Avenue
Hannibal, MO 63401

Mailing address

2500 Pleasant St
Hannibal, MO 63401-2600
Phone (573) 221-6000

Other names 1

  • Pleasant View Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1082151Pleasant View Assisted Living641 Euclid Ave, Hannibal, MO 63401Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Beth Haven Nursing Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386851939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000",
            "fax_number": "573-221-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 EUCLID AVENUE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "573-406-1090",
            "fax_number": "573-221-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE HOME ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "573-221-6000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "034045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.