Current River Manor R.C.F. and D.M.H. Group Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032108 Issued in MO

Legal business name

CURRENT RIVER MANOR R.C.F. AND D.M.H. GROUP HOME

Practice address

M Hwy.
Van Buren, MO 63965-0447

Phone

(573) 323-8828

Fax

(573) 323-4938

NPI assigned

Nov 3, 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

Patricia J Baker

Title

Owner/Operater

Phone

(573) 323-8828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477632164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "639650447",
            "telephone_number": "573-323-8828",
            "fax_number": "573-323-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M HWY.",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "639650447",
            "telephone_number": "573-323-8828",
            "fax_number": "573-323-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRENT RIVER MANOR R.C.F. AND D.M.H. GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATER",
        "authorized_official_telephone_number": "573-323-8828"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Van Buren, MO
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• 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.