Ravenwood Residential, Llc in Springfield - Assisted Living Facility

Ravenwood Residential, Llc - NPI 1992751283

Ravenwood Residential, Llc is a Assisted Living Facility in Springfield, Missouri. Ravenwood Residential, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Ravenwood Residential, Llc is 1992751283. The last update date is 2020-08-22.

Ravenwood Residential, Llc's current location address is 1950 E Republic Rd, Springfield, Missouri. You can contact this provider via phone number 4178906000. The mailing address for Ravenwood Residential, Llc is 1950 E Republic Rd, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ravenwood Residential, Llc
Address 1950 E Republic Rd, Springfield, Missouri
Phone Number 4178906000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREASURER
Authorized Official Name Reiker James
Telephone Number 5734711113

NPI Number Detail

NPI Number 1992751283
Provider Enumeration Date 2006-05-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1950 E Republic Rd
City Springfield
State Missouri (MO)
Post Code 658046763
Phone Number 4178906000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Definition:
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.

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FAQs about Ravenwood Residential, Llc

What is the Ravenwood Residential, Llc's unique identification number?

The Ravenwood Residential, Llc has been assigned the NPI (National Provider Identifier) Number 1992751283 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Ravenwood Residential, Llc is located?

The Ravenwood Residential, Llc is situated at the following address: 1950 E Republic Rd, Springfield, MO, 658046763.

What is Ravenwood Residential, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ravenwood Residential, Llc is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1992751283 to Ravenwood Residential, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1992751283 to Ravenwood Residential, Llc on 2006-05-26.

When was the Ravenwood Residential, Llc's information last updated?

The Ravenwood Residential, Llc's information was last updated on 2020-08-22.

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