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HERITAGE RESIDENTIAL LLC NPI 1851348510


NPI Information

NPI: 1851348510
Provider Name: HERITAGE RESIDENTIAL, LLC

Doing Business As: ST FRANCIS PARK ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0912152

Address:
1806 SAINT FRANCIS ST
KENNETT, MO
ZIP 63857
Phone: (573) 888-1188
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HERITAGE RESIDENTIAL, LLC is an assisted living facility in Kennett, 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. HERITAGE RESIDENTIAL, LLC NPI is 1851348510. The provider is registered as an organization entity type.
The provider Is Doing Business As St Francis Park Assisted Living.

The provider's business location address is:

1806 SAINT FRANCIS ST
KENNETT, MO
ZIP 63857-568
Phone: (573) 888-1188

The provider's authorized official is James Reiker .
The authorized official title is Treasurer and has the following contact phone number (573) 471-1113.

The CLIA number assigned to this NPI record is 26D0912152 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 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
1310400000XAssisted Living FacilityYes

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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