Beth Gilmore Dba New Foundations of Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BETH GILMORE DBA NEW FOUNDATIONS OF LIVING

Practice address

191 Hampton CT
Poplar Bluff, MO 63901-6707

Phone

(573) 300-9079

NPI assigned

Jul 13, 2007

Last updated

Jun 17, 2008By 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. Beth Ann Gilmore

Title

Administrator

Phone

(573) 300-9079

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1699974196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HAMPTON CT",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016707",
            "telephone_number": "573-300-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HAMPTON CT",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016707",
            "telephone_number": "573-300-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH GILMORE DBA NEW FOUNDATIONS OF LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-300-9079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856324504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Terri Bertholomey
• Jennifer Leigh Bess, LCSW
• Mason Storm Betz
• Keshavji N Bhanderi, M.D.
• Girish R Bhatt, MD
• Yogesh Y Bhatt, MD
• BHG Lxxiv, LLC (BHG Medical Services - Missouri)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.