NPIMap

Organization Active NPI

Ripley County Colonial Home, Inc.

  • Assisted Living Facility
  • Doniphan, MO
National Provider Identifier
1508987546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
028930 Issued in MO
Legal business name
RIPLEY COUNTY COLONIAL HOME, INC.
Practice address
102 E Summit St
Doniphan, MO 63935-1328
Phone
(573) 996-3328
Fax
(573) 996-7274
NPI assigned
Apr 3, 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. Bob Adams
Title
Administrator
Phone
(573) 996-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 028930 MO Primary

Addresses

Primary practice location

102 E Summit St
Doniphan, MO 63935-1328

Mailing address

102 E Summit St
Doniphan, MO 63935-1328
Phone (573) 996-3328

Other names 1

  • Walnut Street Other name

National Provider Directory

National Provider Directory
Tax ID family
Colonial Home Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508987546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E SUMMIT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351328",
            "telephone_number": "573-996-3328",
            "fax_number": "573-996-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SUMMIT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351328",
            "telephone_number": "573-996-3328",
            "fax_number": "573-996-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPLEY COUNTY COLONIAL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-996-3328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "028930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Street",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doniphan, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.