Anns Place
Organization Active NPI Assisted Living Facility · Park Hills, MO
NPI 1962810770 · NPPES record last updated Jul 24, 2014
Key facts
- NPI
- 1962810770
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 042283 (MO)
- Legal business name
- ANNS PLACE
- Practice address
- 351 Keith Street
Park Hills, MO 63601 - Phone
- (573) 518-0444
- Fax
- (573) 438-7230
- NPI assigned
- Jul 24, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- PEACH RESIDENTIAL CARE FACILITY INC
Authorized official
- Name
- Cynthia Ann Johnson
- Title
- Owner
- Phone
- (573) 518-0444
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2081727 | Anns Place | Certificate of waiver | Jul 28, 2026 |
National Provider Directory
- Part of
- Anns Place
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 042283 | MO | Yes |
Addresses
Primary practice location
351 Keith Street
Park Hills, MO 63601
Mailing address
P.O. Box 481
Park Hills, MO 63601
Phone (573) 518-0444
Other providers in Park Hills, MO
- Maria De Jesus Alonso Gil
- Mickee Lea Anderson
- Scarlet Barron
- Richard Barton
- Cynthia Basler
- BNG Counseling LLC
- Julie Brischle
All providers in Park Hills, MO · Assisted Living Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.