Spectrum Partners L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

031867 Issued in MO

Legal business name

SPECTRUM PARTNERS L.L.C.

Doing business as

Shelbina Villa Lifecare

Practice address

218 E Shelbina Ave
Shelbina, MO 63468-4328

Phone

(573) 588-4115

Fax

(573) 588-2383

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly S. Harbert, CPA

Title

Managing Member

Phone

(573) 588-4115

Specialties & licenses 1

Addresses

Other names 1

• Shelbina Villa Lifecare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crystal Manor of Adrian2 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.

• Spectrum Partners L.L.C.

  dba Crystal Manor of Adrian

  • Assisted Living Facility
  • Adrian, MO
  • NPI 1528185519
  NPD tax ID

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972620987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E SHELBINA AVE",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634684328",
            "telephone_number": "573-588-4115",
            "fax_number": "573-588-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E SHELBINA AVE",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634684328",
            "telephone_number": "573-588-4115",
            "fax_number": "573-588-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PARTNERS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARBERT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "573-588-4115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelbina Villa Lifecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelbina Pharmacy L L C
• Shelbina Village Estates, Inc
• Shelby County R-IV Schools
• Shelby County Senior Citizens Assocation Inc
• Shelby County Senior Citizens Association Inc.
• The Baptist Home (Baptist Homes of Shelbina)
• Laura Ann Tullock, OTR
• Alisa Ann Willingham, OTR

• Assisted Living Facility in Shelbina, MO
• Providers in Shelbina, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.