VICTORIAN MANOR OF WASHINGTON MEMORY CARE INC. (NPI# 1215202965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215202965 |
| Entity Type | Organization |
| Organization Name | VICTORIAN MANOR OF WASHINGTON MEMORY CARE INC. |
| Other Organization Name | VICTORIAN MANOR OF WASHINGTON MEMORY CARE |
| Practice Address |
1015 Springfield Rd Owensville MO 65066-2354 |
| Mailing Address |
2701 Rabbit Trail Drive Washington MO 63090-6737 |
| Practice Telephone | 5734372103 |
| Practice Fax Number | 5734372219 |
| Mailing Telephone | 6363900011 |
| Mailing Fax Number | 6363900013 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | NANCY QUICK (SECRETARY) |
| Authorized Official Telephone | 5734372103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Victorian Manor of Washington Memory Care | Doing Business As Name - Organization |
| Street Address |
1015 SPRINGFIELD RD |
| City | OWENSVILLE |
| State | MO |
| Zip Code | 65066-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403300 | Isabel Hotop | Speech-Language Pathologist | 1016 Hwy 28, Owensville, MO 65066 | 2020-06-30 |
| 1154630770 | Brandylyn S Bristow | Social Worker | 708 East Highway 28, Owensville, MO 65066 | 2010-09-30 |
| 1427382894 | Sarah Beth Roberson | Occupational Therapist | 301 N 7th St., Owensville, MO 65066 | 2009-10-01 |
| 1710137005 | Paula K Copeland | Physical Therapist | 1920 Bem Church Road, Owensville, MO 65066 | 2008-09-24 |
| 1841474699 | Erin M Jones | Pharmacist | 601 E. Highway 28, Owensville, MO 65066 | 2007-12-27 |
| 1689857120 | Roger Alden Stewart | Chiropractor | 401 W Lincoln, Owensville, MO 65066 | 2007-12-06 |
| 1356469084 | Gasconade Terrace Retirement Center | Assisted Living Facility | 1930 Nursing Home Road, Owensville, MO 65066 | 2007-03-27 |
| 1467538876 | Joe Ray Moore | Chiropractor | 411 East Hwy 28, Moore Chiropractic Health Center, Owensville, MD 65066 | 2006-10-27 |
| 1891885687 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 601 E Hwy 28, Owensville, MO 65066 | 2006-10-13 |
| 1447360680 | Donna Nicks | Physical Therapist | 107 A West Lincoln Ave, Owensville, MO 65066 | 2006-08-30 |
| Find all providers in zip 65066 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841536521 | Americare At Victorian Manor of Owensville, LLC | Assisted Living Facility | 301 N 7th St, Owensville, MO 65066-1075 | 2012-12-27 |
| 1356469084 | Gasconade Terrace Retirement Center | Assisted Living Facility | 1930 Nursing Home Road, Owensville, MO 65066 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820283 | Oak Meadows Rcf LLC | Assisted Living Facility | 5502 Misty Meadow Rd, Poplar Bluff, MO 63901-9287 | 2020-10-28 |
| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
| 1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
| 1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
| 1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | OWENSVILLE |
| Zip Code | 65066 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.