Desoto Investment Group LLC

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

Organization subpart

No

Name

Mrs. Brooke Michelle Bigham

Title

President

Phone

(417) 425-3062

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

• Desoto Investment Group LLC

  • Skilled Nursing Facility
  • De Soto, MO
  • NPI 1851844393
  NPD tax ID

Tax ID family

Desoto Investment Group LLC (2 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2016.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCF PROVIDER NUMBER",
            "identifier": "266906304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• De Soto Drug Co Inc
• De Soto Eye Care LLC
• De Soto Public Schools
• Hattie Debord, FNP
• Desoto Chiropractic, P.C.
• Desoto Investment Group LLC
• Desoto Residential Care Apts, Inc.
• Desoto Vision Care LLC
• Sue Ellen Dickson, RPH
• Martin Lee Dierks Jr., IDC

• All providers in De Soto, MO
• Assisted Living Facility in Missouri

• 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.