Organization Active NPI

M&Rlong, Inc

Doing business as countryside care center

  • Assisted Living Facility
  • Monett, MO
National Provider Identifier
1790955581
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
M&RLONG, INC
Doing business as
countryside care center
Practice address
385 S Eisenhower St
Monett, MO 65708-8266
Phone
(417) 235-4040
Fax
(417) 235-3664
NPI assigned
Mar 7, 2008
Last updated
Mar 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Roswitha Long
Title
Administrator
Phone
(417) 235-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MO Primary

Addresses

Primary practice location

385 S Eisenhower St
Monett, MO 65708-8266

Mailing address

385 S Eisenhower St
Monett, MO 65708-8266
Phone (417) 235-4040

Other names 1

  • countryside care center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedar Ridge Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1790955581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S EISENHOWER ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657088266",
            "telephone_number": "417-235-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S EISENHOWER ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657088266",
            "telephone_number": "417-235-4040",
            "fax_number": "417-235-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&RLONG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ROSWITHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-235-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "countryside care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.