Eastwood Acres Inc

Primary specialty

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

Legal business name

EASTWOOD ACRES INC

Practice address

855 East Eastwood
Marshall, MO 65340-1541

Phone

(660) 886-4113

Fax

(660) 886-4113

NPI assigned

Mar 7, 2007

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. Patricia Ann Weber

Title

Owner Provider

Phone

(660) 886-4113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730219833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "address_2": "855 E EASTWOOD",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401541",
            "telephone_number": "660-886-4113",
            "fax_number": "660-886-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 EAST EASTWOOD",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401541",
            "telephone_number": "660-886-4113",
            "fax_number": "660-886-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD ACRES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "660-886-4113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery C Diehl, M.D.
• Karla Dora Dobbs, D.O.
• Brenda K Dodds, RN, FNP-C, FNP
• Deanna C Donnell, CNM
• Amber Renee Drumheller, PMHNP-BC
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• Jacob Elfrink, MD
• Melanie E Elfrink, MD
• Roy J Elfrink, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marshall, MO
• Providers in Marshall, 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 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.