Brook Cherith Assisted Living

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

039457 Issued in MO

Legal business name

BROOK CHERITH ASSISTED LIVING

Practice address

104 E Elm St
Huntsville, MO 65259-1111

Phone

(660) 277-4439

Fax

(660) 277-3526

NPI assigned

Jan 27, 2011

Last updated

Dec 28, 2011By 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

Mr. Lonnie Kallmeyer

Title

Owner

Phone

(660) 277-4439

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1831495647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E ELM ST",
            "city": "HUNTSVILLE",
            "state": "MO",
            "postal_code": "652591111",
            "telephone_number": "660-277-4439",
            "fax_number": "660-277-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E ELM ST",
            "city": "HUNTSVILLE",
            "state": "MO",
            "postal_code": "652591111",
            "telephone_number": "660-277-4439",
            "fax_number": "660-277-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK CHERITH ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "KALLMEYER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-277-4439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "039457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mequel Rene Burton, PT
• Savannah Byrd, M.A., SLPCF
• Mark Alexander Fuhrman, DDS
• Brynn Renae Hayes I, COTA/L
• Path of Life Mental Wellness

• Assisted Living Facility (Mental Illness) in Huntsville, MO
• Providers in Huntsville, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.