Peach Wood Manor RCF

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PEACH WOOD MANOR RCF

Practice address

Highway 12
Cassville, MO 65625

Phone

(417) 847-3902

Fax

(417) 847-0052

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda Gail Dacy, CMA

Title

Co-Owner

Phone

(417) 847-3902

Specialties & licenses 1

Addresses

Other names 1

• Peach Wood Manor Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose M Butler, DPM

  • Podiatrist
  • Springfield, MO
  • NPI 1588693568
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1548394166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 81",
            "address_2": "BOX 8240",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "65625",
            "telephone_number": "417-847-3902",
            "fax_number": "417-847-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 12",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "65625",
            "telephone_number": "417-847-3902",
            "fax_number": "417-847-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH WOOD MANOR RCF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "DACY",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "417-847-3902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach Wood Manor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rhonda J Orrell, RD,MS,LD
• Ozark Mountain Counseling Center, LLC
• Ozark Tri-County Health Care Consortium
• Ozark Tri-County Health Care Consortium
• Ashkea Patton-Miksell, RDH
• Peachwood Manor, LLC
• PHBC, LLC
• Shannah Lynne Piro, COTA/L
• Regional Services
• Tammie Michelle Resz, PA-C

• Adult Care Home Facility in Cassville, MO
• Providers in Cassville, MO by specialty
• Adult Care Home Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.