Whispering Oaks RCF II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033447 Issued in MO

Legal business name

WHISPERING OAKS RCF II, LLC

Practice address

203 N B St
Poplar Bluff, MO 63901-5413

Phone

(573) 686-4490

Fax

(573) 686-8817

NPI assigned

Jul 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brenda Kaye Keeney, RN

Title

Owner

Phone

(573) 686-4490

Specialties & licenses 2

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1861656803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N B ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015413",
            "telephone_number": "576-686-4490",
            "fax_number": "573-686-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N B ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015413",
            "telephone_number": "573-686-4490",
            "fax_number": "573-686-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISPERING OAKS RCF II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-686-4490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033447",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "035142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266745801",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619147428",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266768803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joyce Ann White
• Cheryl Whittenburg
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• Ashlyn Wilburn
• Dymisha Ruth Wilburn

• Assisted Living Facility in Poplar Bluff, MO
• Providers in Poplar Bluff, 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 Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.