Knights of Columbus 3151 St. Francis Xavier

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER

Doing business as

Columbus Care Center

Practice address

829 Tanner St
Sikeston, MO 63801-2261

Phone

(573) 471-1902

Fax

(573) 471-3494

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary E Pearson

Title

Director

Phone

(573) 471-1902

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbus Care Center Doing business as

Tax ID family

Columbus Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Knights of Columbus 3151 St. Francis Xavier

  • Adult Day Care Clinic/Center
  • Sikeston, MO
  • NPI 1871630590
  NPD tax ID

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1396872487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 TANNER ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012261",
            "telephone_number": "573-471-1902",
            "fax_number": "573-471-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 TANNER ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012261",
            "telephone_number": "573-471-1902",
            "fax_number": "573-471-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-471-1902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852690908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie Ann King, CF-SLP
• Anastasia Leigh Kinsey, MA, NCC, PLPC
• Janice Kiunisala, R.P.T.
• Jacob Scott Klein, MSN, RN, FNP-BC
• Emily Marie Knight
• Knights of Columbus 3151 St. Francis Xavier
• Kristen Ann Komaiko, PHARMD
• Liya M Kunnassery, DDS
• Labonne Maison Residential, LLC
• Shirley Lafont, L.P.C.

• Adult Day Care Clinic/Center in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Adult Day Care Clinic/Center in Missouri

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