Missouri Veterans Commission

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MISSOURI VETERANS COMMISSION

Doing business as

Missouri Veterans Home - CO

Practice address

205 Jefferson St FL 12
Jefferson City, MO 65101-2901

Phone

(573) 751-3779

Fax

(573) 751-6836

NPI assigned

May 22, 2007

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

Mr. Hal Dulle

Title

Executive Director

Phone

(573) 751-3779

Specialties & licenses 1

Addresses

Other names 1

• Missouri Veterans Home - CO 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

Tax ID family

Missouri Veterans Commission7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Missouri Veterans Commission

  dba Missouri Veterans Home Warrensburg

  • Skilled Nursing Facility
  • Warrensburg, MO
  • NPI 1023220811
  NPD tax ID
• Missouri Veterans Commission

  dba Missouri Veterans Home St. Louis

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1144432352
  NPD tax ID
• Missouri Veterans Commission

  dba Missouri Veterans Home-St. James

  • Skilled Nursing Facility
  • Saint James, MO
  • NPI 1356561328
  NPD tax ID
• Missouri Veterans Commission

  dba Missouri Veterans Home Cameron

  • Skilled Nursing Facility
  • Cameron, MO
  • NPI 1396966305
  NPD tax ID
• Missouri Veterans Commission

  dba Missouri Veterans Home

  • Skilled Nursing Facility
  • Mount Vernon, MO
  • NPI 1982813341
  NPD tax ID
• Missouri Veterans' Commission

  dba Missouri Veterans' Home - Mexico

  • Skilled Nursing Facility
  • Mexico, MO
  • NPI 1750593554
  NPD tax ID

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518177591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651020147",
            "telephone_number": "573-751-3779",
            "fax_number": "573-751-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 JEFFERSON ST FL 12",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012901",
            "telephone_number": "573-751-3779",
            "fax_number": "573-751-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI VETERANS COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DULLE",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-751-3779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Veterans Home - CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Missouri Spine Institute, LLC
• Missouri Vein Care, LLC
• Nicole Renee Mistler, FNP
• Mitchell Psychological Associates LLC
• Sherri Mitchell, RPT
• Gwendolyn A Moe, PHYSICAL THERAPIST
• Destri Lora Moffat, OTR/L

• Skilled Nursing Facility in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Skilled Nursing 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.