Crosstree Healthcare Mingo LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CROSSTREE HEALTHCARE MINGO LLC

Doing business as

Mingo Residential Care Facility

Practice address

24080 State Highway 51
Puxico, MO 63960-8114

Phone

(573) 217-8669

NPI assigned

May 26, 2022

Last updated

May 26, 2022By 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

Scott Cole

Title

Manager

Phone

(573) 217-8669

Specialties & licenses 1

Addresses

Other names 1

• Mingo Residential Care Facility Doing business as

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": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1508504853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 MAGNOLIA DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724543129",
            "telephone_number": "573-217-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24080 STATE HIGHWAY 51",
            "city": "PUXICO",
            "state": "MO",
            "postal_code": "639608114",
            "telephone_number": "573-217-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSTREE HEALTHCARE MINGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-217-8669"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mingo Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Andrews, SLP
• Garry Breck Bartmess, RPH
• Jessica Bridges, PTA
• James Dwain Holden, CRNA
• J & S Stewart Inc (Mingo Residential Care)
• Sherry Limbaugh, FNP
• Chelsey Long, MA, CCC-SLP
• Mingo Residential Care of Puxico LLC

• Assisted Living Facility in Puxico, MO
• Providers in Puxico, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.