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ELDERHAUS INN #19 LLC NPI 1083006720


NPI Information

NPI: 1083006720
Provider Name: ELDERHAUS INN #19, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0965449

Address:
125 ANNA AVE
TROY, MO
ZIP 63379
Phone: (314) 792-5777
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ELDERHAUS INN #19, LLC is an assisted living facility in Troy, 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. ELDERHAUS INN #19, LLC NPI is 1083006720. The provider is registered as an organization entity type.

The provider's business location address is:

125 ANNA AVE
TROY, MO
ZIP 63379-402
Phone: (314) 792-5777

The provider's authorized official is Ilma Anwar .
The authorized official title is Ceo and has the following contact phone number (314) 792-5777.

The CLIA number assigned to this NPI record is 26D0965449 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2015 and was last updated on 3/3/2015.


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 FacilityLC001429138MISSOURIYes

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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