Chapel Ridge Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

042272 Issued in MO

Legal business name

CHAPEL RIDGE ASSISTED LIVING

Doing business as

Chapel Ridge Living Center

Practice address

10160 Restoration Circle
Mineral Point, MO 63660

Phone

(573) 562-0303

Fax

(573) 562-7743

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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

Randy Glen McDonald

Title

Business Administrator

Phone

(573) 562-0303

Specialties & licenses 1

Addresses

Other names 1

• Chapel Ridge Living Center Doing business as

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1942618319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010534",
            "telephone_number": "573-562-0303",
            "fax_number": "573-562-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 RESTORATION CIRCLE",
            "city": "MINERAL POINT",
            "state": "MO",
            "postal_code": "63660",
            "telephone_number": "573-562-0303",
            "fax_number": "573-562-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "573-562-0303"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "042272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel Ridge Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Mineral Point, MO
• Providers in Mineral Point, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.