Anna Dodson Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ANNA DODSON HOME LLC

Practice address

4616 Hwy D
Farmington, MO 63640-7241

Phone

(573) 756-5530

Fax

(573) 756-5530

NPI assigned

Apr 10, 2019

Last updated

Apr 10, 2019By 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

Penny McDowell

Title

Main Member/Administrator

Phone

(573) 631-3644

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1902369663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 HWY D",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407241",
            "telephone_number": "573-756-5530",
            "fax_number": "573-756-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 HWY D",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407241",
            "telephone_number": "573-756-5530",
            "fax_number": "573-756-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA DODSON HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "MAIN MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "573-631-3644"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Farmington, MO
• Providers in Farmington, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.