Barnabas Operations #2

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

BARNABAS OPERATIONS #2

Doing business as

Barnabas Redwood Manor

Practice address

1194 Landon Rd
Bourbon, MO 65441-8218

Phone

(573) 468-8150

NPI assigned

Nov 11, 2013

Last updated

Nov 11, 2013By 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

Michael Ewing

Title

President

Phone

(913) 416-2232

Specialties & licenses 1

Addresses

Other names 1

• Barnabas Redwood Manor Doing business as

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1669801668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25896 PLEASANT VALLEY RD",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660928307",
            "telephone_number": "913-416-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 LANDON RD",
            "city": "BOURBON",
            "state": "MO",
            "postal_code": "654418218",
            "telephone_number": "573-468-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNABAS OPERATIONS #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-416-2232"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnabas Redwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ability Express LLC
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• Samantha Leann Birmingham
• Boulder Build Operations LLC Dba Barnabas Redwood Manor
• Bourbon Drugs Inc
• County of Crawford Public Schools
• Vivian Dudley

• Assisted Living Facility (Mental Illness) in Bourbon, MO
• Providers in Bourbon, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.