MICHELE VINSON INVESTMENTS LLC DBA BOLIVAR MANOR HOUSE (NPI# 1245893296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245893296 |
| Entity Type | Organization |
| Organization Name | MICHELE VINSON INVESTMENTS LLC DBA BOLIVAR MANOR HOUSE |
| Practice Address |
404 E Broadway St Bolivar MO 65613-2019 |
| Mailing Address |
Po Box 175 Bolivar MO 65613-0175 |
| Practice Telephone | 4173275790 |
| Practice Fax Number | 4173263839 |
| Mailing Telephone | 4173275790 |
| Mailing Fax Number | 4173263839 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | MS. MICHELE RUTHANNE VINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 4173275790 |
| Authorized Official Credential | MEMBER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
404 E BROADWAY ST |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245303171 | Blue Castle of The Ozarks, Inc. | Assisted Living Facility | 1830 E. Lavern, Bolivar, MO 65613 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356919 | Cardinal Ritter Institute-resident Services Corp | Assisted Living Facility | 5890 Eichelberger St, Saint Louis, MO 63109-3454 | 2020-11-02 |
| 1831798214 | Smith Care Residential, LLC | Assisted Living Facility | 130 W Culton St, Warrensburg, MO 64093-1720 | 2020-10-18 |
| 1063010890 | Mitchell's Care Center LLC | Assisted Living Facility | 1134 W Norton Rd, Springfield, MO 65803-1070 | 2020-10-14 |
| 1982201935 | J & J Assisted Living LLC | Assisted Living Facility | 104 Wesbecher Ln, Marble Hill, MO 63764 | 2020-10-02 |
| 1144862350 | Humble Abode Residence | Assisted Living Facility | 18 S Duchesne Dr, Florissant, MO 63031-8112 | 2019-10-09 |
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1790343804 | Calvin Akins | Assisted Living Facility | 4432 W Belle Pl, Saint Louis, MO 63108-2617 | 2019-06-04 |
| 1073079091 | Homes That Care Co. | Assisted Living Facility | 4144 Lindell Blvd Ste 312, Saint Louis, MO 63108-2953 | 2019-02-14 |
| 1609387240 | Tammy Michelle Stone | Assisted Living Facility | 431 Ne County Road 10564, Adrian, MO 64720-5111 | 2017-10-23 |
| 1124550363 | Peachs, Inc | Assisted Living Facility | 301 Watts St, Park Hills, MO 63601-1839 | 2017-03-28 |
| 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.