Active NPI
M&Rlong, Inc
Doing business as countryside care center
- Assisted Living Facility
- Monett, MO
National Provider Identifier
1790955581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Ridge Care Center
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.