Desoto Residential Care Apts Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031260 Issued in MO

Legal business name

DESOTO RESIDENTIAL CARE APTS INC

Doing business as

The Villas

Practice address

1550 Villas Drive
Desoto, MO 63020-2586

Phone

(636) 586-6559

Fax

(636) 586-1604

NPI assigned

Nov 28, 2005

Last updated

Jun 30, 2008By 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

Mr. Tom Otke

Title

President Owner

Phone

(573) 659-6607

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE VILLAS Doing business as

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1972586659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 VILLAS DRIVE",
            "city": "DESOTO",
            "state": "MO",
            "postal_code": "630202586",
            "telephone_number": "636-586-6559",
            "fax_number": "636-586-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 VILLAS DRIVE",
            "city": "DESOTO",
            "state": "MO",
            "postal_code": "630202586",
            "telephone_number": "636-586-6559",
            "fax_number": "636-586-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO RESIDENTIAL CARE APTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "OTKE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "573-659-6607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "031261",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107812307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266751809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VILLAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• De Soto Public Schools
• Hattie Debord, FNP
• Desoto Chiropractic, P.C.
• Desoto Investment Group LLC
• Desoto Investment Group LLC
• Desoto Residential Care Apts, Inc. (The Villas)
• Desoto Vision Care LLC
• John W Dickinson, DDS
• Sue Ellen Dickson, RPH
• Martin Lee Dierks Jr., IDC

• Skilled Nursing Facility in De Soto, MO
• Providers in De Soto, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.