Crawford Ranch Boarding Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

035378 Issued in MO

Legal business name

CRAWFORD RANCH BOARDING HOME, LLC

Practice address

2200 Varvera Rd
Doe Run, MO 63637-3121

Phone

(573) 756-4656

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By 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

Dennis CrawfordNPI 1285754747

Title

Owner

Phone

(573) 756-4656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Crawford

  • Personal Care Attendant
  • Doe Run, MO
  • NPI 1285754747
  Authorized official Same address or phone

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1457524761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 VARVERA RD",
            "city": "DOE RUN",
            "state": "MO",
            "postal_code": "636373121",
            "telephone_number": "573-756-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 VARVERA RD",
            "city": "DOE RUN",
            "state": "MO",
            "postal_code": "636373121",
            "telephone_number": "573-756-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD RANCH BOARDING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-756-4656"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "035378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Crawford
• Hard Knocks LLC (There's No Place Like HomeCare)
• Hard Knocks LLC (pine valley rcf)
• Robert Joseph Makler, OWNER OF RCF

• Assisted Living Facility in Doe Run, MO
• Providers in Doe Run, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.