Stubblefield Enterprises Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033229 Issued in MO

Legal business name

STUBBLEFIELD ENTERPRISES INC.

Practice address

5349 Highway P
Cuba, MO 65453-6281

Phone

(573) 885-3661

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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

Jessica Marie Stubblefield

Title

Office Manager

Phone

(314) 803-6620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992912943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 HIGHWAY P",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654536281",
            "telephone_number": "573-885-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 HIGHWAY P",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654536281",
            "telephone_number": "573-885-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUBBLEFIELD ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-803-6620"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amirah Binti Tan Abdullah, MD
• Shelly B Tash
• Mary Frances Tatkenhorst, LPC
• Towne Pharmacy

• Assisted Living Facility in Cuba, MO
• Providers in Cuba, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.