Ava No 2 Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

045057 Issued in MO

Legal business name

AVA NO 2 INC

Doing business as

Ava Place

Practice address

1011 Lyle Street
Ava, MO 65608-5588

Phone

(417) 683-5516

NPI assigned

Mar 13, 2012

Last updated

Jul 21, 2022By 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

Donald B Bedell

Title

President

Phone

(573) 471-1276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AVA PLACE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Shriver, PSYD

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1811037237
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790050565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N MAIN ST",
            "address_2": "PO BOX 1210",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012151",
            "telephone_number": "573-471-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LYLE STREET",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656085588",
            "telephone_number": "417-683-5516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 NW THIRD ST",
            "address_purpose": "LOCATION",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "country_code": "US",
            "telephone_number": "417-683-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVA NO 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1276"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "045057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268207800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVA PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ava No 1 Inc
• Ava R-I School
• Ava RX LLC
• Mylene Baguio, RPT
• Quirino Baguio, R.P.T.
• Elizabeth Helen Baker, FNP

• Assisted Living Facility in Ava, MO
• Providers in Ava, 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 Jul 21, 2022; 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.