Moore-Pike Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

029652 Issued in MO

Legal business name

MOORE-PIKE NURSING HOME INC.

Practice address

300 S Saint Charles St
Bowling Green, MO 63334-2221

Phone

(573) 324-5281

Fax

(573) 324-6332

NPI assigned

Sep 26, 2005

Last updated

Sep 15, 2011By 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

Mrs. Martha Earlene Moore

Title

Owner/Administrator

Phone

(573) 324-5281

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1982690871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SAINT CHARLES ST",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342221",
            "telephone_number": "573-324-5281",
            "fax_number": "573-324-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SAINT CHARLES ST",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342221",
            "telephone_number": "573-324-5281",
            "fax_number": "573-324-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE-PIKE NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "EARLENE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "573-324-5281",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "029652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily N Meyers, CCC-SLP
• Heather Miller, LPC
• Kelly Marie Miller, FNP-C
• Missouri Mobile Radiology, LLC
• Brock Mitchell
• Sarah Moses
• Jackelleyn Renee Mudd, OD
• Janet K Myers, D.O.
• Michele Nacke, LPC
• Naman Ghazal Albar MD

• Skilled Nursing Facility in Bowling Green, MO
• Providers in Bowling Green, 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 Sep 15, 2011; 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.