Terrace Gardens Retirement Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1384-8830 Issued in MO

Legal business name

TERRACE GARDENS RETIREMENT CENTER

Doing business as

Terrace Gardens ISL

Practice address

1308 Cecelia St
Perryville, MO 63775-1214

Phone

(573) 547-7170

Fax

(573) 547-2171

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Janel Vernon, QMRP

Title

Director

Phone

(573) 547-7170

Specialties & licenses 1

Addresses

Other names 1

• Terrace Gardens ISL Doing business as

Tax ID family

Terrace Gardens Isl2 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.

• Terrace Gardens Retirement Center Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Perryville, MO
  • NPI 1962554881
  NPD tax ID

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609900885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CECELIA ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751214",
            "telephone_number": "573-547-7170",
            "fax_number": "573-547-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CECELIA ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751214",
            "telephone_number": "573-547-7170",
            "fax_number": "573-547-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE GARDENS RETIREMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-547-7170",
        "authorized_official_credential": "QMRP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1384-8830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrace Gardens ISL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Staincliffe
• Alanna M Steinbecker, MOT, OTR/L, CAPS
• Stephen M Carron DDS LLC
• Jessica Tanz, MOTR/L
• Matthew Girard Tarrillion I, LMT
• Terrace Gardens Retirement Center Inc.
• The Estates of Perryville, LLC
• Therapy Solutions, LLC
• Everett A Tilley, O.D.
• Steven D Tilley, O.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Perryville, MO
• Providers in Perryville, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.