MOBERLY RESIDENTIAL LLC NPI 1235186982

NPI Information

NPI: 1235186982
Provider Name: MOBERLY RESIDENTIAL, LLC

Doing Business As: RAVENWOOD TERRACE

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

Address:
1830 RAVENWOOD DR
MOBERLY, MO
ZIP 65270
Phone: (660) 263-8004
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MOBERLY RESIDENTIAL, LLC is an assisted living facility in Moberly, 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. MOBERLY RESIDENTIAL, LLC NPI is 1235186982. The provider is registered as an organization entity type.
The provider Is Doing Business As Ravenwood Terrace.

The provider's business location address is:

1830 RAVENWOOD DR
MOBERLY, MO
ZIP 65270-002
Phone: (660) 263-8004

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 26D0446608 - hospital with a certificate type of Certificate of Accreditation.

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
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

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