Premier Residential Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

034624 Issued in MO

Legal business name

PREMIER RESIDENTIAL CARE LLC

Practice address

109 E Crowder Road
Trenton, MO 64683

Phone

(660) 359-4292

Fax

(660) 359-3998

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pauline S Gunter

Title

Owner/Manager

Phone

(417) 257-4217

Specialties & licenses 1

Addresses

Tax ID family

Pine Lodge Residential Care2 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.

• Premier Residential Care LLC

  • Assisted Living Facility
  • Buffalo, MO
  • NPI 1124275482
  NPD tax ID

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1891979126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E CROWDER ROAD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "64683",
            "telephone_number": "660-359-4292",
            "fax_number": "660-359-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CROWDER ROAD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "64683",
            "telephone_number": "660-359-4292",
            "fax_number": "660-359-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "417-257-4217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "034624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly M Olmstead, LPN
• Lindsay Oram, PH.D.
• Ayron Osborn
• Paul C. Cox D.D.S. & Andrew P. Cox D.D.S. P.C.
• Preferred Family Healthcare
• Kayce L Riggle, MSW, LCSW
• Rural Roots Rehabilitation
• Saint Luke'S Hospital of Trenton
• Saint Luke'S Hospital of Trenton
• Saint Luke'S Hospital of Trenton

• All providers in Trenton, MO
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.