Eldercare LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

033746 Issued in MO

Legal business name

ELDERCARE LLC

Practice address

2104 S Wahington Street
Sedalia, MO 65301

Phone

(660) 826-3911

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alex C Kroeger

Title

Owner

Phone

(660) 826-3911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932323508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 S WAHINGTON STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-826-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 S WAHINGTON STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-826-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-826-3911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MO",
            "license": "033746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Mansour Ebrahimi, MD
• Lindsey Edwards, PA-C
• Ryan K Edwards, MD
• Jenna Eichler, PHARMD
• Steven C. Eldenburg, D.O.
• Brian K Ellefsen, DO
• Alyssa Marie Emery, MD
• Empowerme Rehabilitation Missouri LLC
• Empowerme Rehabilitation Mo Agency
• Hannah Ervin

• Adult Care Home Facility in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Adult Care Home Facility 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.