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STUBBLEFIELD ENTERPRISES INC. NPI 1992912943


NPI Information

NPI: 1992912943
Provider Name: STUBBLEFIELD ENTERPRISES INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D2158640

Address:
5349 HIGHWAY P
CUBA, MO
ZIP 65453
Phone: (573) 885-3661
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STUBBLEFIELD ENTERPRISES INC. is an assisted living facility in Cuba, 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. STUBBLEFIELD ENTERPRISES INC. NPI is 1992912943. The provider is registered as an organization entity type.

The provider's business location address is:

5349 HIGHWAY P
CUBA, MO
ZIP 65453-281
Phone: (573) 885-3661

The provider's authorized official is Jessica Marie Stubblefield .
The authorized official title is Office Manager and has the following contact phone number (314) 803-6620.

The CLIA number assigned to this NPI record is 26D2158640 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 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
1310400000XAssisted Living Facility033229MISSOURIYes

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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