Mexico Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032192 Issued in MO

Legal business name

MEXICO MANOR, INC.

Practice address

219 E Bolivar St
Mexico, MO 65265-2637

Phone

(573) 581-0335

Fax

(573) 581-7818

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Meldina L Kennemore

Title

Administrator

Phone

(573) 581-0335

Specialties & licenses 1

Addresses

Other names 1

• Mexico Manor Doing business as

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811911290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E BOLIVAR ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652637",
            "telephone_number": "573-581-0335",
            "fax_number": "573-581-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E BOLIVAR ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652637",
            "telephone_number": "573-581-0335",
            "fax_number": "573-581-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICO MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEMORE",
        "authorized_official_first_name": "MELDINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-581-0335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mexico Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Marie McManus, RPH
• Medical Imaging Associates of Mexico Mo
• Mexico Cardiovascular Associates LLC
• Mexico Eye Center, L.L.C.
• Mexico Internal Medicine, LLP
• Mexico Medical Specialists, L.C.
• Mexico Public Schools
• Mexico Residential, LLC
• Mexico Surgical Associates, Inc
• Mexico Womens Health Specialists

• Skilled Nursing Facility in Mexico, MO
• Providers in Mexico, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.