Annie's House, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANNIE'S HOUSE, INC.

Doing business as

Annie's House

Practice address

25228 Buzzard Dr
Marble Hill, MO 63764-7481

Phone

(573) 238-1300

Fax

(573) 238-1302

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By 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

Andrea Danielle CookNPI 1063003242

Title

Owner/Manager

Phone

(573) 979-6053

Specialties & licenses 1

Addresses

Other names 1

• Annie's House Doing business as

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.

• Andrea Danielle Cook

  • Mental Illness Community Based Residential Treatment Facility
  • Marble Hill, MO
  • NPI 1063003242
  NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1841916764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25228 BUZZARD DR",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637647481",
            "telephone_number": "573-979-6053",
            "fax_number": "573-238-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25228 BUZZARD DR",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637647481",
            "telephone_number": "573-238-1300",
            "fax_number": "573-238-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE'S HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "573-979-6053"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annie's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maddison Raye Altenthal
• Jodina Aurand, COTA
• Chelsea R Baker
• Behavior Analysis & Support, LLC
• Courtney Leigh Beussink, DDS
• Abby Rose Bohnsack

• Assisted Living Facility in Marble Hill, MO
• Providers in Marble Hill, 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 12, 2022; 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.