Ripley County Colonial Home, Inc
Organization Active NPI Homemaker · Doniphan, MO
NPI 1770038366 · NPPES record last updated Aug 24, 2016
Key facts
- NPI
- 1770038366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- Legal business name
- RIPLEY COUNTY COLONIAL HOME, INC
- Practice address
- 102 E Summit St
Doniphan, MO 63935-1328 - Phone
- (573) 996-3328
- Fax
- (573) 996-7274
- NPI assigned
- Aug 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Wade Adams
- Title
- Administrator
- Phone
- (573) 996-3328
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Colonial Home Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
102 E Summit St
Doniphan, MO 63935-1328
Mailing address
102 E Summit St
Doniphan, MO 63935-1328
Phone (573) 996-3328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871613174 | Medicaid | MO | |
| 1508987546 | Medicaid | MO | |
| 288016900 | Medicaid | MO | |
| 1144341181 | Medicaid | MO |
Other names
- Colonial Home Care Services
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.