PORTIA'S RCF LLC NPI 1548649643

NPI Information

  • NPI: 1548649643
  • Provider Name: PORTIA'S RCF, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 26D1080181
  • Address: 307 N BROADWAY ST
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 686-3446

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NPI Details

PORTIA'S RCF, LLC is an assisted living facility in Poplar Bluff, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PORTIA'S RCF, LLC NPI is 1548649643. The provider is registered as an organization entity type.

The provider's business location address is:

307 N BROADWAY ST
POPLAR BLUFF, MO
ZIP 63901-103
Phone: (573) 686-3446
Fax: (573) 686-4425

The provider's authorized official is Brenda Kaye Price .
The authorized official title is Owner and has the following contact phone number (573) 718-0210.

The CLIA number assigned to this NPI record is 26D1080181 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility043080MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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