NPIMap

Organization Active NPI

Mennonite Home Association Inc.

  • Assisted Living Facility
  • Hannibal, MO
National Provider Identifier
1629128822
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
030980 Issued in MO
Legal business name
MENNONITE HOME ASSOCIATION INC.
Doing business as
Pleasant View
Practice address
2500 Pleasant St
Hannibal, MO 63401-2600
Phone
(573) 221-6000
NPI assigned
Jan 11, 2007
Organization subpart
Yes
Parent organization
MENNONITE HOME ASSOCIATION INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Mr. Paul Ewert
Title
Chief Executive Officer
Phone
(573) 221-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 030980 MO Primary

Addresses

Primary practice location

2500 Pleasant St
Hannibal, MO 63401-2600

Mailing address

2500 Pleasant St
Hannibal, MO 63401-2600

Other identifiers 1

IdentifierTypeStateIssuer
261480107MedicaidMO

Other names 2

  • Pleasant View Doing business as
  • Pleasant View Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Beth Haven Nursing Home4 organizations share this tax ID, including this one
Part of
Beth Haven Nursing Home

Other organizations with this tax ID 3

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1629128822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE HOME ASSOCIATION INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENNONITE HOME ASSOCIATION INC.",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "573-221-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "030980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261480107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant View",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pleasant View Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.