Hulett Enterprises Dba Stovers Residential Care Facility

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

033443 Issued in MO

Legal business name

HULETT ENTERPRISES DBA STOVERS RESIDENTIAL CARE FACILITY

Practice address

520 E 5TH St
Milan, MO 63556-1222

Phone

(660) 265-3262

Fax

(660) 857-4413

NPI assigned

Dec 1, 2006

Last updated

Aug 22, 2020By 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

Mrs. Donna Rae Hulett

Title

Owner

Phone

(660) 265-3262

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679641229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 5TH ST",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635561222",
            "telephone_number": "660-265-3262",
            "fax_number": "660-857-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 5TH ST",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635561222",
            "telephone_number": "660-265-3262",
            "fax_number": "660-857-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULETT ENTERPRISES DBA STOVERS RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULETT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-265-3262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MO",
            "license": "033443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Milan, MO
• Providers in Milan, MO by specialty
• Assisted Living Facility (Behavioral Disturbances) 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.