Organization Active NPI

Desoto Investment Group LLC

  • Assisted Living Facility
  • De Soto, MO
National Provider Identifier
1609324276
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DESOTO INVESTMENT GROUP LLC
Practice address
3260 Baisch Dr
De Soto, MO 63020-5046
Phone
(417) 425-3062
NPI assigned
Sep 13, 2016
Last updated
Sep 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mrs. Brooke Michelle Bigham
Title
President
Phone
(417) 425-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3260 Baisch Dr
De Soto, MO 63020-5046

Mailing address

375 Fontana LN
Linn Creek, MO 65052-2584
Phone (417) 425-3062

National Provider Directory

National Provider Directory
Tax ID family
Desoto Investment Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1609324276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 FONTANA LN",
            "city": "LINN CREEK",
            "state": "MO",
            "postal_code": "650522584",
            "telephone_number": "417-425-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BAISCH DR",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630205046",
            "telephone_number": "417-425-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-425-3062",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Soto, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.