My Place Residential Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

033990 Issued in MO

Legal business name

MY PLACE RESIDENTIAL CARE

Practice address

23 N 6TH St
Festus, MO 63028-1301

Phone

(636) 933-1793

Fax

(636) 933-6446

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mary L. Casey, LPN, LNHA

Title

Administrator

Phone

(636) 933-1793

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497957062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N 6TH ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281301",
            "telephone_number": "636-933-1793",
            "fax_number": "636-933-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N 6TH ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281301",
            "telephone_number": "636-933-1793",
            "fax_number": "636-933-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PLACE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-933-1793",
        "authorized_official_credential": "LPN, LNHA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "033990",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "032831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHSS",
            "identifier": "032831",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Mungenast, PT, DPT
• Nona Mungle, N.P.
• Janet S. Murdick, RN BC AP PMH/CNS
• Heather Marie Murray, LCSW
• Musaddeque Ahmad M.D. Inc.
• Andrew Naegeli, DPT
• Nagireddi Pediatrics LLC
• Venkata Nagireddi, MD
• Amie S. Nash, F.N.P.
• Heather Nass

• Custodial Care Facility in Festus, MO
• Providers in Festus, 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 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.