Bismarck Investment Group LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

BISMARCK INVESTMENT GROUP LLC

Doing business as

Colonial Residential Care Facility II

Practice address

1162 Cedar St
Bismarck, MO 63624-8920

Phone

(573) 734-2846

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By 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

Brooke M Bigham

Title

Manager

Phone

(417) 425-3062

Specialties & licenses 1

Addresses

Other names 1

• Colonial Residential Care Facility II Doing business as

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1851058648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CEDAR ST",
            "city": "BISMARCK",
            "state": "MO",
            "postal_code": "636248920",
            "telephone_number": "573-734-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 CEDAR ST",
            "city": "BISMARCK",
            "state": "MO",
            "postal_code": "636248920",
            "telephone_number": "573-734-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISMARCK INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-425-3062"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Residential Care Facility II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bismarck R-V School District
• Bre Medical Providers LLC (Bismarck Medical Providers)
• Joseph Christopher Cangelosi, D.D.S.
• Colonial Retirement Center Inc. (Colonial Residential Care Facility II)
• Victoria Nicole Eftink, M.A. CCC-SLP

• Assisted Living Facility (Mental Illness) in Bismarck, MO
• Providers in Bismarck, 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 Nov 29, 2021; 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.