Lbenholdings

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LBENHOLDINGS

Doing business as

Secret Gardens

Practice address

351 Keith St
Park Hills, MO 63601-2049

Phone

(573) 518-0444

NPI assigned

Nov 27, 2019

Last updated

Nov 27, 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

Brian Makler

Title

Owner

Phone

(573) 330-3219

Specialties & licenses 1

Addresses

Other names 1

• Secret Gardens Doing business as

Tax ID family

Lbenholdings2 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.

• Lbenholdings

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Park Hills, MO
  • NPI 1013564491
  NPD tax ID

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1952948788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010481",
            "telephone_number": "573-330-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 KEITH ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012049",
            "telephone_number": "573-518-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBENHOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "MAKLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-330-3219"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secret Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Joyce, RN
• Caitlyn Keeler, MS, OTR/L
• Gloria Diane Kochis, R.N., WHNP
• Heather Lalumondiere, RN
• Lbenholdings
• Christin Lewis, RN
• Lisa Michelle Long, RN
• Tonya Monique Long, DMD
• Carrie Lorentz, MA, SLP LICENSE
• Jacklyn Lowry, LPN

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.