Butler Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

041063 Issued in MO

Legal business name

BUTLER SENIOR LIVING, LLC

Doing business as

Maple Senior Living of Butler

Practice address

300 S Delaware St
Butler, MO 64730-2014

Phone

(660) 679-0866

Fax

(660) 679-0867

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. W. Bryabn Hudson

Title

Evp, General Counsel and Secretary

Phone

(502) 779-4700

Specialties & licenses 1

Addresses

Other names 1

• Maple Senior Living of Butler Doing business as

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1770929309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 4TH ST STE 1900",
            "address_2": "ATTN: LEGAL DEPT.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402024436",
            "telephone_number": "505-779-4700",
            "fax_number": "502-779-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S DELAWARE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647302014",
            "telephone_number": "660-679-0866",
            "fax_number": "660-679-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "BRYABN",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL AND SECRETARY",
        "authorized_official_telephone_number": "502-779-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "041063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Senior Living of Butler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rick Lynn Bryson, RPH
• John Phillip Bustle, MD
• Butler Operator LLC
• Butler Pharmacy Inc
• Butler R-V School District
• Butler Urgent Medicine
• C.W. Long Enterprises, Inc.
• Sandra M Callahan, LPN
• Kerri M Cannon
• Blake Cavender, DDS

• Assisted Living Facility in Butler, MO
• Providers in Butler, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.