Organization Active NPI

Terrace Gardens Retirement Center Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Perryville, MO
National Provider Identifier
1962554881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1384-8830 Issued in MO
Legal business name
TERRACE GARDENS RETIREMENT CENTER INC.
Practice address
1308 Cecelia St
Perryville, MO 63775-1214
Phone
(573) 547-7170
Fax
(573) 547-2171
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Janel Marie Vernon, B.S.
Title
Q.M.R.P.
Phone
(573) 547-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1384-8830 MO Primary

Addresses

Primary practice location

1308 Cecelia St
Perryville, MO 63775-1214

Mailing address

1308 Cecelia St
Perryville, MO 63775-1214
Phone (573) 547-7170

National Provider Directory

National Provider Directory
Tax ID family
Terrace Gardens Isl2 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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962554881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 CECELIA ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751214",
            "telephone_number": "573-547-7170",
            "fax_number": "573-547-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CECELIA ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751214",
            "telephone_number": "573-547-7170",
            "fax_number": "573-547-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE GARDENS RETIREMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "Q.M.R.P.",
        "authorized_official_telephone_number": "15735477170",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1384-8830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • 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.