Meadow Ridge Gardens LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW RIDGE GARDENS LLC

Practice address

521 Meadow Ridge LN
Moberly, MO 65270-4549

Phone

(660) 263-0550

NPI assigned

Jul 17, 2026

Organization subpart

No

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

Authorized official

Name

Chaim Mandelbaum

Title

Medicare Authorized Official

Phone

(816) 429-0850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1770403974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 NW PLATTE RD STE 100",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641507500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MEADOW RIDGE LN",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652704549",
            "telephone_number": "660-263-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW RIDGE GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "816-429-0850"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.