Village Center Care of Wentzville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

040664 Issued in MO

Legal business name

VILLAGE CENTER CARE OF WENTZVILLE LLC

Practice address

909 E Pitman Ave
Wentzville, MO 63385-1818

Phone

(636) 327-1907

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By 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

Mrs. Jennifer Ellen Gettman, MA GERENTOLOGY, NHA

Title

Administrator

Phone

(636) 219-3114

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1598009185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E PITMAN AVE",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851818",
            "telephone_number": "636-327-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E PITMAN AVE",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851818",
            "telephone_number": "636-327-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CENTER CARE OF WENTZVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "GETTMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-219-3114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA GERENTOLOGY, NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "040664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen A Vaughn
• David Vega Jr., DC
• Jordan Verbanaz
• Kathleen Veys, LPC, ATR, MA
• Vidya Vijayan, LMSW, PHD
• Christopher Pearson Voll, D.C.
• Jeanne Marie Voss
• Lauren M Wagner, DMD
• Meredith E Wagnon
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0243)

• Assisted Living Facility in Wentzville, MO
• Providers in Wentzville, 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 Nov 20, 2012; 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.