Organization Active NPI

Marian Cliff Residential Care Center, LLC

  • Assisted Living Facility (Mental Illness)
  • Saint Mary, MO
National Provider Identifier
1871150755
Registry record updated May 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
MARIAN CLIFF RESIDENTIAL CARE CENTER, LLC
Practice address
381 Elm St
Saint Mary, MO 63673-9330
Phone
(573) 330-3760
NPI assigned
May 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2019

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

Authorized official

Name
Karen E. Veach
Title
Owner
Phone
(573) 330-3760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

381 Elm St
Saint Mary, MO 63673-9330

Mailing address

PO Box 272
Farmington, MO 63640-0272
Phone (573) 330-3760

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0980257Marian Cliff Residential Care Center LLC381 Elm Street, Saint Mary, MO 63673Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1871150755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400272",
            "telephone_number": "573-330-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ELM ST",
            "city": "SAINT MARY",
            "state": "MO",
            "postal_code": "636739330",
            "telephone_number": "573-330-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN CLIFF RESIDENTIAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-25",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "VEACH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-330-3760"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Mary, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.