McWilliams Manor, Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

7048378 Issued in MO

Legal business name

MCWILLIAMS MANOR, INCORPORATED

Practice address

3439 S Westwood Blvd
Poplar Bluff, MO 63901-8670

Phone

(573) 785-4035

Fax

(573) 785-4035

NPI assigned

Mar 26, 2007

Organization subpart

Yes

Parent organization

MCWILLIAMS MANOR, INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Mr. Richard McWilliams

Title

Owner

Phone

(573) 785-4035

Specialties & licenses 3

Addresses

Tax ID family

McWilliams Manor Incorporated2 organizations share this tax ID, including this one

Part of

McWilliams Manor Incorporated

Other organizations with this tax ID 1

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

• McWilliams Manor, Incorporated

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Poplar Bluff, MO
  • NPI 1699808766
  NPD tax ID

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1467570085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 S WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018670",
            "telephone_number": "573-785-4035",
            "fax_number": "573-785-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 S WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018670",
            "telephone_number": "573-785-4035",
            "fax_number": "573-785-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCWILLIAMS MANOR, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCWILLIAMS MANOR, INCORPORATED",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-785-4035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "7048378",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "7048378",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MO",
            "license": "7048378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie McNeal
• Peyton Jane McNeal, SLP
• Paige A McNew
• Kenneth B McVey, DO
• Lindsay R McVey, FNP
• McWilliams Manor, Incorporated
• Med-Trans Corporation
• Ashlee Medler
• Kayla S Melton, O.D.
• Mercy Pharmacy Services, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.