Ripley County Colonial Home, Inc

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

RIPLEY COUNTY COLONIAL HOME, INC

Doing business as

Colonial Home Care Services

Practice address

102 E Summit St
Doniphan, MO 63935-1328

Phone

(573) 996-3328

Fax

(573) 996-7274

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By 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

Mr. Robert Wade Adams

Title

Administrator

Phone

(573) 996-3328

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Colonial Home Care Services Doing business as

Tax ID family

Colonial Home Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Ripley County Colonial Home, Inc.

  dba Colonial Home Care

  • Homemaker
  • Doniphan, MO
  • NPI 1144341181
  NPD tax ID
• Ripley County Colonial Home, Inc.

  dba Colonial Home Care

  • Homemaker
  • Doniphan, MO
  • NPI 1326169368
  NPD tax ID
• Ripley County Colonial Home, Inc.

  • Assisted Living Facility
  • Doniphan, MO
  • NPI 1508987546
  NPD tax ID
• Ripley County Colonial Home, Inc.

  • Assisted Living Facility
  • Doniphan, MO
  • NPI 1871613174
  NPD tax ID

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1770038366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E SUMMIT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351328",
            "telephone_number": "573-996-3328",
            "fax_number": "573-996-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SUMMIT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351328",
            "telephone_number": "573-996-3328",
            "fax_number": "573-996-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPLEY COUNTY COLONIAL HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-996-3328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871613174",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288016900",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508987546",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144341181",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Pridy
• Kevin Raposo, QBHP
• Rehabcare
• Reorganized School Dist 4 (Ripley Co R-IV School District)
• Ripley County Ambulance District
• Ripley County Colonial Home, Inc. (Colonial Home Care)
• Ripley County Colonial Home, Inc. (Colonial Home Care)
• Ripley County Colonial Home, Inc.
• Ripley County Colonial Home, Inc.
• Ripley County Family Resource Center

• Homemaker in Doniphan, MO
• Providers in Doniphan, MO by specialty
• Homemaker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.