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MY PLACE RESIDENTIAL CARE NPI 1497957062


NPI Information

NPI: 1497957062
Provider Name: MY PLACE RESIDENTIAL CARE
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 26D1088743

Address:
23 N 6TH ST
FESTUS, MO
ZIP 63028
Phone: (636) 933-1793
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MY PLACE RESIDENTIAL CARE is a custodial care facility in Festus, MO. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. MY PLACE RESIDENTIAL CARE NPI is 1497957062. The provider is registered as an organization entity type.

The provider's business location address is:

23 N 6TH ST
FESTUS, MO
ZIP 63028-301
Phone: (636) 933-1793
Fax: (636) 933-6446

The provider's authorized official is Mary L. Casey .
The authorized official title is Administrator and has the following contact phone number (636) 933-1793.

The CLIA number assigned to this NPI record is 26D1088743 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2007 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
1311Z00000XCustodial Care Facility032831MISSOURINo
2311Z00000XCustodial Care Facility033990MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1032831OTHERMISSOURIDHSS

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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