Organization Active NPI

Arbors of Columbia Residential, LLC

  • Alzheimer Center (Dementia Center)
  • Columbia, MO
National Provider Identifier
1407901747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
ARBORS OF COLUMBIA RESIDENTIAL, LLC
Practice address
3100 Bluff Creek Dr
Columbia, MO 65201-3524
Phone
(573) 256-5565
Fax
(573) 256-5112
NPI assigned
Jan 25, 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
James Reiker
Title
Treasurer
Phone
(573) 471-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

3100 Bluff Creek Dr
Columbia, MO 65201-3524

Mailing address

3100 Bluff Creek Dr
Columbia, MO 65201-3524

Other names 1

  • The Arbors of Bluff Creek 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
26D1037054Arbors at Bluff Creek Terrace,the3100 Bluff Creek Dr, Columbia, MO 65201Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory

Locations

3100 Bluff Creek Dr
Columbia, MO 65201
Phone (573) 256-5565

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407901747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BLUFF CREEK DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BLUFF CREEK DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013524",
            "telephone_number": "573-256-5565",
            "fax_number": "573-256-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORS OF COLUMBIA RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "573-471-1113"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arbors of Bluff Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, 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.