NPIMap

Organization Active NPI

Mom and Pop'S Adult Care Center

  • Nursing Care Agency
  • Clinton, MO
National Provider Identifier
1801284641
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
1220 Issued in MO
Legal business name
MOM AND POP'S ADULT CARE CENTER
Practice address
905 N Price LN
Clinton, MO 64735-1721
Phone
(660) 885-1095
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Ms. Lisa Renee Bain, LPNNPI 1477955409
Title
Owner/Director
Phone
(660) 200-6891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 1220 MO Primary

Addresses

Primary practice location

905 N Price LN
Clinton, MO 64735-1721

Mailing address

905 N Price LN
Clinton, MO 64735-1721
Phone (660) 885-1095

National Provider Directory

National Provider Directory

Locations

905 N Price Ln
Clinton, MO 64735
Phone (660) 885-1095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1801284641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N PRICE LN",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351721",
            "telephone_number": "660-885-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N PRICE LN",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351721",
            "telephone_number": "660-885-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM AND POP'S ADULT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "660-200-6891",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.