VICTORIAN MANOR OF WASHINGTON, INC (NPI# 1558659029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558659029 |
| Entity Type | Organization |
| Organization Name | VICTORIAN MANOR OF WASHINGTON, INC |
| Other Organization Name | VICTORIAN MANOR OF WASHINGTON |
| Practice Address |
2800 Rabbit Trail Dr Washington MO 63090-6737 |
| Mailing Address |
1015 Springfield Rd Owensville MO 65066-2354 |
| Practice Telephone | 5734372103 |
| Practice Fax Number | 5734372219 |
| Mailing Telephone | 5734372103 |
| Mailing Fax Number | 5734372219 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| 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 | Doing Business As Name - Organization |
| Street Address |
2800 RABBIT TRAIL DR |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-6737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518203009 | Americare At Victorian Manor of Washington | Assisted Living Facility | 2800 Rabbit Trail Dr, Washington, MO 63090-6737 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| 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 |
|---|---|---|---|---|
| 1609415041 | Bra Health Care Services, LLC | Assisted Living Facility | 900 K St Ne, Washington, DC 20002-3724 | 2020-01-02 |
| 1174082549 | Paradise At Georgia Ave, LLC | Assisted Living Facility | 5100 Georgia Ave Nw, Washington, DC 20011-3958 | 2019-03-15 |
| 1093282782 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 1078 N Coral Canyon Blvd, Washington, UT 84780-2777 | 2018-10-31 |
| 1386164705 | Eckington House Mental Health Service LLC | Assisted Living Facility | 3030 30th St Se, Washington, DC 20020-1674 | 2017-06-27 |
| 1831596782 | Nissi Homes LLP | Assisted Living Facility | 5915 Dix St Ne, Washington, DC 20019-6968 | 2014-11-20 |
| 1366850885 | Iyeshia Anderson | Assisted Living Facility | 500 44th St Ne, Washington, DC 20019-8044 | 2014-07-28 |
| 1851729529 | 2905 Alf, LLC | Assisted Living Facility | 2905 11th St Nw, Washington, DC 20001-3903 | 2013-10-16 |
| 1265865349 | Assisted Living Centers of America,llc | Assisted Living Facility | 1717 Pennsylvania Ave Nw Ste 1025, Washington, DC 20006-3951 | 2013-08-13 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1457641532 | Agape Health Services | Assisted Living Facility | 4904 7th St Ne, Washington, DC 20017-2300 | 2011-04-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.