Eden Heritage Foundation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031890 Issued in MO

Legal business name

EDEN HERITAGE FOUNDATION

Doing business as

Autumn Meadows, LLC

Practice address

196 Highway CC
Linn, MO 65051-3500

Phone

(573) 897-2218

Fax

(573) 897-0127

NPI assigned

May 4, 2006

Last updated

Aug 22, 2020By 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

Rayanne Carroll Strubberg, BS/BA, LNHA

Title

Administrator

Phone

(573) 897-2218

Specialties & licenses 1

Addresses

Other names 1

• Autumn Meadows, LLC Doing business as

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427006386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 HIGHWAY CC",
            "city": "LINN",
            "state": "MO",
            "postal_code": "650513500",
            "telephone_number": "573-897-2218",
            "fax_number": "573-897-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 HIGHWAY CC",
            "city": "LINN",
            "state": "MO",
            "postal_code": "650513500",
            "telephone_number": "573-897-2218",
            "fax_number": "573-897-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HERITAGE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRUBBERG",
        "authorized_official_first_name": "RAYANNE",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-897-2218",
        "authorized_official_credential": "BS/BA, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Meadows, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capital Region Medical Center (Capital Region Physicians - Linn)
• Samantha Casteel, APRN
• Community Health Ctr of Central Missouri
• Core Family Dentistry LLC
• Enrique De la Piedra
• Elliott Chiropractic Health Clinic
• Shawn Kevin Elliott, DC
• General Baptist Nursing Home of Linn (Linn Oak Rehabilitation Center)
• Marcia Heberle
• Jarco Pharmacies, Inc. (Linn Drugs)

• Skilled Nursing Facility in Linn, MO
• Providers in Linn, MO by specialty
• Skilled Nursing Facility in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.