Organization Active NPI

Whispering Oaks Health Care Center, Inc

  • Assisted Living Facility (Mental Illness)
  • Wildwood, MO
National Provider Identifier
1720204928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
031766 Issued in MO
Legal business name
WHISPERING OAKS HEALTH CARE CENTER, INC
Practice address
1450 Ridge Rd
Wildwood, MO 63021-2000
Phone
(636) 256-7700
Fax
(636) 256-0559
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Liza Marie Pequeno, LNHA
Title
Administrator
Phone
(636) 256-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 031766 MO Primary

Addresses

Primary practice location

1450 Ridge Rd
Wildwood, MO 63021-2000

Mailing address

1450 Ridge Rd
Wildwood, MO 63021-2000
Phone (636) 256-7700

Other identifiers 1

IdentifierTypeStateIssuer
55240201898059OtherMOMISSOURI ID

National Provider Directory

National Provider Directory
Tax ID family
Whispering Oaks Health Care Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720204928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 RIDGE RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630212000",
            "telephone_number": "636-256-7700",
            "fax_number": "636-256-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 RIDGE RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630212000",
            "telephone_number": "636-256-7700",
            "fax_number": "636-256-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISPERING OAKS HEALTH CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEQUENO",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-256-7700",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "031766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI ID",
            "identifier": "55240201898059",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, MO

Sources for this page

  • 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.