South Haven Residential Care Center, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SOUTH HAVEN RESIDENTIAL CARE CENTER, LLC

Practice address

10462 Airport Rd
Mineral Point, MO 63660-9325

Phone

(573) 438-4150

NPI assigned

Apr 22, 2018

Last updated

Apr 22, 2018By 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

Karen Eileen Veach

Title

Owner

Phone

(573) 330-3760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524355200000",
    "number": "1992292270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400272",
            "telephone_number": "573-330-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10462 AIRPORT RD",
            "city": "MINERAL POINT",
            "state": "MO",
            "postal_code": "636609325",
            "telephone_number": "573-438-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAVEN RESIDENTIAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-04-22",
        "status": "A",
        "authorized_official_last_name": "VEACH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-330-3760"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chapel Ridge Assisted Living (Chapel Ridge Living Center)
• Casey Eaton, FNP-BC
• Great Mines Health Center
• Hillside Living Center LLC
• Anthony J Mingo, EMT-CP, CHW-C
• South Haven Residential Care LLC
• Transition-Ready Services
• Washington County Ambulance District

• Assisted Living Facility (Mental Illness) in Mineral Point, MO
• Providers in Mineral Point, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; 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.