Parkdale Manor Incorporated in Maryville - Skilled Nursing Facility
Parkdale Manor Incorporated - NPI 1497850978
Parkdale Manor Incorporated is a Skilled Nursing Facility in Maryville, Missouri. Parkdale Manor Incorporated practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Parkdale Manor Incorporated is 1497850978. The last update date is 2016-11-23.
Parkdale Manor Incorporated's current location address is 814 W South Ave, Maryville, Missouri. You can contact this provider via phone number 6605828161 and fax number 6605822798. The mailing address for Parkdale Manor Incorporated is 814 W South Ave, Maryville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkdale Manor Incorporated |
|---|---|
| Address | 814 W South Ave, Maryville, Missouri |
| Phone Number | 6605828161 |
| Fax Number | 6605822798 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Scheulen C. Benjamin |
| Telephone Number | 5735566240 |
NPI Number Detail
| NPI Number | 1497850978 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2016-11-23 |
Provider Mailing Address Detail
| Address | 814 W South Ave |
|---|---|
| City | Maryville |
| State | Missouri (MO) |
| Post Code | 644682772 |
| Phone Number | 6605828161 |
| Fax Number | 6605822798 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 15686 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106867104 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Parkdale Manor Incorporated by the Centers for Medicare & Medicaid Services?
The Parkdale Manor Incorporated has been issued the NPI (National Provider Identifier) 1497850978. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Parkdale Manor Incorporated is geographically located?
The Parkdale Manor Incorporated is physically situated at the following location: 814 W South Ave, Maryville, MO, 644682772.
What is Parkdale Manor Incorporated's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Parkdale Manor Incorporated is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497850978 to Parkdale Manor Incorporated?
The Parkdale Manor Incorporated received its 1497850978 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.
When was the information related to Parkdale Manor Incorporated most recently updated or refreshed?
The details pertaining to the Parkdale Manor Incorporated, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-11-23.