Albany Place LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALBANY PLACE LLC

Practice address

520 S Albany Ave
Bolivar, MO 65613-2116

Phone

(417) 777-8040

Fax

(417) 777-3024

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 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

Mrs. Melba Nadine Mandrell

Title

Manager

Phone

(417) 777-8040

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1851915706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130176",
            "telephone_number": "417-777-8040",
            "fax_number": "417-777-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ALBANY AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132116",
            "telephone_number": "417-777-8040",
            "fax_number": "417-777-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MANDRELL",
        "authorized_official_first_name": "MELBA",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-777-8040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "albanyplacellc@gmail.com",
            "affiliation": "N",
            "address_1": "520 S Albany Ave",
            "city": "Bolivar",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656132116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.