Knights of Columbus 3151 St. Francis Xavier

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

601 Issued in MO

Legal business name

KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER

Doing business as

Columbus Care Center

Practice address

829 Tanner St
Sikeston, MO 63801-2261

Phone

(573) 471-1902

Fax

(573) 471-3494

NPI assigned

Jan 31, 2007

Last updated

Jun 16, 2008By 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. Mary E Pearson

Title

Director

Phone

(573) 471-1902

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbus Care Center Doing business as

Tax ID family

Columbus Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Knights of Columbus 3151 St. Francis Xavier

  dba Columbus Care Center

  • Adult Day Care Clinic/Center
  • Sikeston, MO
  • NPI 1396872487
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1871630590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 TANNER ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012261",
            "telephone_number": "573-471-1902",
            "fax_number": "573-471-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 TANNER ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012261",
            "telephone_number": "573-471-1902",
            "fax_number": "573-471-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-471-1902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294806203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasia Leigh Kinsey, MA, NCC, PLPC
• Janice Kiunisala, R.P.T.
• Jacob Scott Klein, MSN, RN, FNP-BC
• Emily Marie Knight
• Knights of Columbus 3151 St. Francis Xavier (Columbus Care Center)
• Kristen Ann Komaiko, PHARMD
• Liya M Kunnassery, DDS
• Labonne Maison Residential, LLC (WestRidge Place)
• Shirley Lafont, L.P.C.
• Deborah Renee Lagrand, PLPC

• Adult Day Care Clinic/Center in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.