Robert Joseph Makler, OWNER OF RCF

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

EL-0996-INIT Issued in MO

Practice address

3381 1St St
Doe Run, MO 63637-3155

Phone

(573) 760-8601

Fax

(573) 246-6052

NPI assigned

Sep 5, 2017

Last updated

Sep 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hard Knocks LLC

  dba pine valley rcf

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Doe Run, MO
  • NPI 1922526417
  Authorized official Same address or phone

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1861910440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WALMART DR STE 108",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403315",
            "telephone_number": "479-756-8601",
            "fax_number": "573-246-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 1ST ST",
            "city": "DOE RUN",
            "state": "MO",
            "postal_code": "636373155",
            "telephone_number": "573-760-8601",
            "fax_number": "573-246-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLER",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "OWNER OF RCF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MO",
            "license": "EL-0996-INIT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-1282578",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crawford Ranch Boarding Home, LLC
• Dennis Crawford
• Hard Knocks LLC (There's No Place Like HomeCare)
• Hard Knocks LLC (pine valley rcf)

• Nursing Home Administrator in Doe Run, MO
• Providers in Doe Run, MO by specialty
• Nursing Home Administrator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.