NPIMap

Organization Active NPI

Silver Oak Senior Living Management, LC

Doing business as Silver Oak Senior Living At Butler

  • Assisted Living Facility
  • Butler, MO
National Provider Identifier
1396862348
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
033792 Issued in MO
Legal business name
SILVER OAK SENIOR LIVING MANAGEMENT, LC
Doing business as
Silver Oak Senior Living At Butler
Practice address
300 S Delaware St
Butler, MO 64730-2014
Phone
(660) 679-0866
Fax
(660) 679-0867
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Sam Crosby
Title
Owner
Phone
(660) 679-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 033792 MO Primary

Addresses

Primary practice location

300 S Delaware St
Butler, MO 64730-2014

Mailing address

300 S Delaware St
Butler, MO 64730-2014
Phone (660) 679-0866

Other identifiers 1

IdentifierTypeStateIssuer
268207602MedicaidMO

Other names 1

  • Silver Oak Senior Living At Butler Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver Oak Senior Living at Butler4 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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1396862348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S DELAWARE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647302014",
            "telephone_number": "660-679-0866",
            "fax_number": "660-679-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S DELAWARE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647302014",
            "telephone_number": "660-679-0866",
            "fax_number": "660-679-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER OAK SENIOR LIVING MANAGEMENT, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-679-0866"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268207602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Oak Senior Living At Butler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.