Alpha Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALPHA ASSISTED LIVING LLC

Practice address

13450 CR 7040
803 E 12TH St
Rolla, MO 65401

Phone

(573) 341-8000

Fax

(573) 341-2222

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By 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

Ms. Leaetta M Gardner, LPN, ADM.NPI 1518303296

Title

Adm.

Phone

(573) 341-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leaetta Mildred Gardner, LPN/ADM

  • Nursing Facility/Intermediate Care Facility
  • Rolla, MO
  • NPI 1518303296
  Authorized official Same address or phone

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1841742855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 COUNTY ROAD 7040",
            "address_2": "ALPHA ASSISTED LIVING, LLC",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "65401",
            "telephone_number": "573-341-8000",
            "fax_number": "573-341-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 CR 7040",
            "address_2": "803 E 12TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "65401",
            "telephone_number": "573-341-8000",
            "fax_number": "573-341-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LEAETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "573-341-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN, ADM."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Alexander, PHARMD
• Claire Alfermann
• Yaqoob Ali, M.D.
• Allergy & Asthma Consultants of the Ozarks LTD
• Allergy and Asthma Consultants of the Ozarks, LTD (Allergy and Asthma Consultants)
• Paige Loring Alvarado, CNM
• Danielle Diane Alvarez, LPC
• Ameripath Indianapolis PC
• Ameripath Indianapolis PC
• William S Anast, MD

• Assisted Living Facility in Rolla, MO
• Providers in Rolla, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.