Organization Active NPI

Cameron Healthcare Inc.

Doing business as The Village Health Care

  • Custodial Care Facility
  • Cameron, MO
National Provider Identifier
1467664326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
033244 Issued in MO
Legal business name
CAMERON HEALTHCARE INC.
Doing business as
The Village Health Care
Practice address
320 E Little Brick St
Cameron, MO 64429
Phone
(816) 632-7611
Fax
(816) 632-6045
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Ronnie Wade Wilkinson
Title
Owner
Phone
(816) 632-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 033244 MO Primary

Addresses

Primary practice location

320 E Little Brick St
Cameron, MO 64429

Mailing address

320 E Little Brick St
Cameron, MO 64429
Phone (816) 632-7611

Other names 1

  • The Village Health Care 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
26D0444822Village Health Care, the320 Little Brick Street, Cameron, MO 64429Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cameron Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467664326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E LITTLE BRICK ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "64429",
            "telephone_number": "816-632-7611",
            "fax_number": "816-632-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E LITTLE BRICK ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "64429",
            "telephone_number": "816-632-7611",
            "fax_number": "816-632-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-632-7611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "033244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, 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.