Health Care Consultants of Mid Missouri, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

2516-9032 Issued in MO

Legal business name

HEALTH CARE CONSULTANTS OF MID MISSOURI, INC.

Doing business as

Maplelawn Residential Care Facility

Practice address

420 County Road 112
Fayette, MO 65248

Phone

(660) 248-3626

Fax

(660) 248-2166

NPI assigned

Dec 22, 2006

Last updated

Aug 22, 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. Darla S Rudroff, R.N.

Title

Administrator

Phone

(573) 489-0246

Specialties & licenses 1

Addresses

Other names 1

• Maplelawn Residential Care Facility Doing business as

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871658799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CTY. RD. 112",
            "address_2": "PO BOX 271",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "65248",
            "telephone_number": "660-248-3626",
            "fax_number": "660-248-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COUNTY ROAD 112",
            "city": "FAYETTE",
            "state": "MO",
            "postal_code": "65248",
            "telephone_number": "660-248-3626",
            "fax_number": "660-248-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE CONSULTANTS OF MID MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDROFF",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-489-0246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "2516-9032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplelawn Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Garrison, DO
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• Rachel Beth Hanson, PT
• Randa Samantha Hart, LAT, ATC
• Sarah Henderson, RN, LCSW
• Zach G Hentges
• Nathan Reed Hepner, LPC
• Howard County Ambulance District
• Howard County Commission (Howard County Public Health Department)

• Assisted Living Facility (Mental Illness) in Fayette, MO
• Providers in Fayette, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.