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FOUR SEASONS CARE CORP NPI 1023615622


NPI Information

NPI: 1023615622
Provider Name: FOUR SEASONS CARE CORP
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0719103

Address:
230 RAILROAD ST
MOSCOW MILLS, MO
ZIP 63362
Phone: (636) 366-4231
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FOUR SEASONS CARE CORP is an assisted living facility in Moscow Mills, 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. FOUR SEASONS CARE CORP NPI is 1023615622. The provider is registered as an organization entity type.

The provider's business location address is:

230 RAILROAD ST
MOSCOW MILLS, MO
ZIP 63362-600
Phone: (636) 366-4231
Fax: (636) 356-4321

The provider's authorized official is Barbara Ann Howard .
The authorized official title is Administrator/president and has the following contact phone number (636) 366-4231.

The CLIA number assigned to this NPI record is 26D0719103 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.