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FOUR SEASONS LIVING CENTER LLC NPI 1699803999


NPI Information

NPI: 1699803999
Provider Name: FOUR SEASONS LIVING CENTER, LLC
Classification: Nurse's Aide - 376K00000X
Entity Type: Organization

CLIA Number: 26D0652393

Address:
2800 HIGHWAY TT
SEDALIA, MO
ZIP 65301
Phone: (660) 826-8803
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FOUR SEASONS LIVING CENTER, LLC is a nurses aide in Sedalia, MO. The provider is (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. FOUR SEASONS LIVING CENTER, LLC NPI is 1699803999. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2800 HIGHWAY TT
SEDALIA, MO
ZIP 65301-410
Phone: (660) 826-8803
Fax: (660) 826-6864

The provider's authorized official is Richard Joseph Destefane .
The authorized official title is President and has the following contact phone number (314) 543-3800.

The CLIA number assigned to this NPI record is 26D0652393 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376K00000XNurse's AideYes

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: 5/5/2024

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