AMBROSE PARK RESIDENTIAL CARE FACILITY (NPI# 1962633818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962633818 |
| Entity Type | Organization |
| Organization Name | AMBROSE PARK RESIDENTIAL CARE FACILITY |
| Practice Address |
517 North Oak Street Cole Camp MO 65325 |
| Mailing Address |
Po Box 252 Cole Camp MO 65325-0252 |
| Practice Telephone | 6606683140 |
| Practice Fax Number | 6606680108 |
| Mailing Telephone | 6606683140 |
| Mailing Fax Number | 6606680108 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-30 |
| Authorized Official Name | MRS. REXANNA KAY KREISEL (OWNER) |
| Authorized Official Telephone | 6606683140 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 037166 | MO | Nursing & Custodial Care Facilities |
| Street Address |
517 NORTH OAK STREET |
| City | COLE CAMP |
| State | MO |
| Zip Code | 65325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932251949 | Michael Scott Snell | Pharmacist | 106 S. Maple St., Cole Camp, MO 65325 | 2007-01-18 |
| 1902839095 | Cole Camp Community Ambulance District | Ambulance | 905 E Main Street, Cole Camp, MO 65325 | 2006-07-09 |
| 1154425262 | Eric Stanley Wilson | Dentist | 606 W Main St, Cole Camp, MO 65325 | 2006-09-11 |
| 1164680997 | Cole Camp R-i School District | Local Education Agency (LEA) | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2008-05-29 |
| 1093335416 | Melissa Nienhuis | Specialist/Technologist | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2020-04-26 |
| 1285288472 | Regional Health Care Clinic, Inc | Clinic/Center | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2019-07-26 |
| 1619982246 | Cole Camp Pharmacy Inc | Pharmacy | 106 S Maple St, Cole Camp, MO 65325-1120 | 2006-07-30 |
| 1487051355 | Christine Armantrout | Physical Therapy Assistant | 403 W Main St, Cole Camp, MO 65325-1144 | 2014-11-20 |
| 1194121251 | Amy Vandaveer | Occupational Therapy Assistant | 403 W Main St, Cole Camp, MO 65325-1144 | 2014-11-17 |
| 1003817248 | Good Samaritan Nursing Home | Skilled Nursing Facility | 403 W Main St, Cole Camp, MO 65325-1144 | 2005-08-10 |
| Find all providers in zip 65325 | ||||
| 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 | ||||
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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.