ESSEX RESIDENTIAL CARE NPI 1760687529

NPI Information

NPI: 1760687529
Provider Name: ESSEX RESIDENTIAL CARE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
24898 STATE HIGHWAY AB
ESSEX, MO
ZIP 63846
Phone: (573) 568-5622
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ESSEX RESIDENTIAL CARE is an assisted living facility in Essex, 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. ESSEX RESIDENTIAL CARE NPI is 1760687529. The provider is registered as an organization entity type.

The provider's business location address is:

24898 STATE HIGHWAY AB
ESSEX, MO
ZIP 63846-167
Phone: (573) 568-5622

The provider's authorized official is Theodore Alton Elliott .
The authorized official title is Administrator and has the following contact phone number (573) 471-5503.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 7/24/2007.

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
1	310400000X	Assisted Living Facility				Yes

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

NPI Synchronization or Removal

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