Dogwood Investment Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOGWOOD INVESTMENT GROUP LLC

Doing business as

Licking Residential Care

Practice address

225 W Highway 32
Licking, MO 65542-9832

Phone

(417) 425-3062

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By 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

Brooke M Bigham

Title

Manager and President

Phone

(417) 425-3062

Specialties & licenses 1

Addresses

Other names 1

• Licking Residential Care Doing business as

Locations

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1790498079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657110191",
            "telephone_number": "417-425-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HIGHWAY 32",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655429832",
            "telephone_number": "417-425-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER AND PRESIDENT",
        "authorized_official_telephone_number": "417-425-3062"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Licking Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin R. Rust DMD PC
• Community Care Center of Licking Inc (Licking Park Manor)
• Community Counseling Services of Missouri, L.L.C.
• Community Residence, Inc. (Licking Residential Care)
• Nancy Jane Cook, LPC
• Douglas County Public Health Services Group, Inc. (Missouri Ozarks Community Health)
• Adrienne Jill Goble, PHARMD
• Whitney J Hall, PA-C
• Jihad Y Ibrahim, M.D.
• Marie Elizabeth Lasater, RN, MSN, CCRN, CNRN

• Assisted Living Facility in Licking, MO
• Providers in Licking, 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 Jan 2, 2023; 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.