Portia'S RCF, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

043080 Issued in MO

Legal business name

PORTIA'S RCF, LLC

Practice address

307 N Broadway St
Poplar Bluff, MO 63901-5103

Phone

(573) 686-3446

Fax

(573) 686-4425

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Kaye Price, RN

Title

Owner

Phone

(573) 718-0210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1548649643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N BROADWAY ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015103",
            "telephone_number": "573-686-3446",
            "fax_number": "573-686-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N BROADWAY ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015103",
            "telephone_number": "573-686-3446",
            "fax_number": "573-686-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTIA'S RCF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-718-0210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "043080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poplar Bluff School District
• Poplar Bluff School District R-1
• Kenneth Gregory Popp II, RPH
• Connie Porch
• Lindsay Porter
• Allyssa Poston
• Mary Poston
• Shirley A Potter, BS
• Ginger Ann Potts, APRN-BC
• Brenda Powell

• Assisted Living Facility in Poplar Bluff, MO
• Providers in Poplar Bluff, 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 21, 2015; 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.