Smith Care Residential, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SMITH CARE RESIDENTIAL, LLC

Practice address

130 W Culton St
Warrensburg, MO 64093-1720

Phone

(660) 429-1587

Fax

(660) 362-0468

NPI assigned

Oct 18, 2020

Last updated

Oct 23, 2020By 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

Sandy Collins, LNHA

Title

Manager

Phone

(816) 835-1108

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1831798214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W CULTON ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931720",
            "telephone_number": "660-429-1587",
            "fax_number": "660-362-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W CULTON ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931720",
            "telephone_number": "660-429-1587",
            "fax_number": "660-362-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 W Truman Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640503447",
            "country_code": "US",
            "telephone_number": "816-254-6789",
            "fax_number": "816-254-2874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITH CARE RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-835-1108",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Warrensburg",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "130 W Culton St",
            "city": "Warrensburg",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640931720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ibrahim A Shilbaya, PHARMD
• Kristie Lea Shockley, LMSW
• Claire Elaine Shore, COTA/L
• Mahavir K Shridharani, M.D.
• Adrienne K Smarr
• Blake Bruce Patrick Smith, DPT
• Linda Georgette Smith, LCSW, LPC
• Mica Skylar Smith
• Scott C. Smith, CRNA
• Stuart Smith, DO

• Assisted Living Facility (Mental Illness) in Warrensburg, MO
• Providers in Warrensburg, 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 Oct 23, 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.