REDWOOD MANOR CARE CENTER (NPI# 1720236045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720236045 |
| Entity Type | Organization |
| Organization Name | REDWOOD MANOR CARE CENTER |
| Practice Address |
1194 Landon Rd Bourbon MO 65441-8218 |
| Practice Telephone | 5734688150 |
| Practice Fax Number | 5738602601 |
| Mailing Telephone | 5734688150 |
| Mailing Fax Number | 5738602601 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | MRS. CHRISTIE ANN JONES (OWNER, OPERATER) |
| Authorized Official Telephone | 5734688150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 034144 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTH NET IDENTIFIER | M266774009 | 01 |
| Street Address |
1194 LANDON RD |
| City | BOURBON |
| State | MO |
| Zip Code | 65441-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669801668 | Barnabas Operations #2 | Assisted Living Facility | 1194 Landon Rd, Bourbon, MO 65441-8218 | 2013-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528268737 | Mark Williams Heywood | Chiropractor | 522 E Pine St, Bourbon, MO 65441 | 2007-07-25 |
| 1356462949 | Sunshine Residential, LLC | Custodial Care Facility | 541 Rock Road, Bourbon, MO 65441 | 2007-04-02 |
| 1013018654 | Vivian Dudley | Nurse Practitioner | 125 N Old Hwy 66, Bourbon, MO 65441 | 2006-09-26 |
| 1124285309 | Lynn Marie Schmader | Dentist | 246 College, Bourbon, MO 65441-0129 | 2008-05-16 |
| 1508280645 | Clark's Rx Farmington LLC | Pharmacy | 194 N Old Highway 66 Unit A, Bourbon, MO 65441-6298 | 2014-02-10 |
| 1235493776 | Mercy Clinic East Communities | Clinic/Center | 125 N Old Highway 66, Bourbon, MO 65441-6298 | 2012-06-29 |
| 1568597110 | Kathryn L Schlemper | Speech-Language Pathologist | 1444 S Old Highway 66, County of Crawford Public Schools Cons Dist R I, Bourbon, MO 65441-6300 | 2007-02-23 |
| 1306062161 | County of Crawford Public Schools | Physical Therapist | 1444 S Old Highway 66, Bourbon, MO 65441-6300 | 2007-04-18 |
| 1043609381 | Sunshine Rc LLC | Custodial Care Facility | 541 Rock Rd, Bourbon, MO 65441-6324 | 2015-01-09 |
| 1245746072 | Medley Pharmacy, Inc | Pharmacy | 124 Old Highway 66, Bourbon, MO 65441-6544 | 2017-12-15 |
| Find all providers in zip 65441 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on REDWOOD MANOR CARE CENTER.
| 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.