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MENNONITE HOME ASSOCIATION INC. NPI 1629128822


NPI Information

NPI: 1629128822
Provider Name: MENNONITE HOME ASSOCIATION INC.

Doing Business As: PLEASANT VIEW

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2500 PLEASANT ST
HANNIBAL, MO
ZIP 63401
Phone: (573) 221-6000
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MENNONITE HOME ASSOCIATION INC. is an assisted living facility in Hannibal, 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. MENNONITE HOME ASSOCIATION INC. NPI is 1629128822. The provider is registered as an organization entity type.
The provider Is Doing Business As Pleasant View.

The provider's business location address is:

2500 PLEASANT ST
HANNIBAL, MO
ZIP 63401-600
Phone: (573) 221-6000

The provider's authorized official is Paul Ewert .
The authorized official title is Chief Executive Officer and has the following contact phone number (573) 221-6000.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 4/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility030980MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1261480107MEDICAIDMISSOURI

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: 4/28/2024

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