Marshfield Place LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

043507 Issued in MO

Legal business name

MARSHFIELD PLACE LLC

Doing business as

Marshfield Place

Practice address

820 S White Oak Rd
Marshfield, MO 65706-2231

Phone

(417) 859-6133

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By 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

Timothy Woodworth

Title

Manager

Phone

(417) 827-4210

Specialties & licenses 1

Addresses

Other names 1

• Marshfield Place Doing business as

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1487011649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WHITE OAK RD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S WHITE OAK RD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062231",
            "telephone_number": "417-859-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHFIELD PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-827-4210"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "043507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Custodial Care Facility in Marshfield, MO
• Providers in Marshfield, MO by specialty
• Custodial Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.