Patricias Residential Care Facility Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PATRICIAS RESIDENTIAL CARE FACILITY INC

Practice address

510 E 2ND St
Annapolis, MO 63620-9104

Phone

(573) 958-4202

Fax

(573) 598-3885

NPI assigned

Apr 24, 2019

Last updated

Sep 19, 2019By 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

John Alcorn

Title

President

Phone

(573) 598-4202

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1447814538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 B HWY HH",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "63957",
            "telephone_number": "573-223-2754",
            "fax_number": "573-223-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 2ND ST",
            "city": "ANNAPOLIS",
            "state": "MO",
            "postal_code": "636209104",
            "telephone_number": "573-958-4202",
            "fax_number": "573-598-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 E Front St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MO",
            "postal_code": "636209130",
            "country_code": "US",
            "telephone_number": "573-598-4202",
            "fax_number": "573-598-3885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRICIAS RESIDENTIAL CARE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-598-4202"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Springs Medical Association (Missouri Highlands Health Care)
• Leslie Marie James
• Erin Michelle Mertens
• Dawn Marie Mounce, LPN
• Patricia's Residential Care Facility
• Rae of Hope Heritage LLC
• Russell Family Care Corp
• South Iron Ambulance Service
• Ashley Arleen Starnes, FNP

• Assisted Living Facility (Mental Illness) in Annapolis, MO
• Providers in Annapolis, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.