VICTORIAN MANOR OF SULLIVAN


Address: 1250 East Springfield Rd, Sullivan, MO 63080
Phone: 5734372103

VICTORIAN MANOR OF SULLIVAN (NPI# 1407099500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407099500
Entity Type Organization
Organization Name VICTORIAN MANOR OF SULLIVAN
Other Organization Name VICTORIAN MANOR OF OAK GROVE/SULLIVAN
Practice Address 1250 East Springfield Rd
Sullivan
MO 63080
Mailing Address 1015 Springfield Rd
Owensville
MO 65066
Practice Telephone 5734372103
Practice Fax Number 5734372219
Mailing Telephone 5734372103
Mailing Fax Number 5734372219
Enumeration Date 2009-04-20
Last Update Date 2009-04-20
Authorized Official Name NANCY QUICK (SECRETARY)
Authorized Official Telephone 5734372103
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 26324D MO Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Victorian Manor of Oak Grove/Sullivan Doing Business As Name - Organization

Office Location

Street Address 1250 EAST SPRINGFIELD RD
City SULLIVAN
State MO
Zip Code 63080

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669896650 Lindsay Nicole Arnette Physical Therapist 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 2014-02-11
1578729992 Bio-medical Applications of Missouri, Inc. Clinic/Center 123 Progress Parkway, Sullivan, MO 63080 2008-08-05
1386826089 Sellers Family Chiropractic PC Chiropractor 405 Wal Mart Drive, Sullivan, MO 63080 2007-12-04
1740495282 Tasha Marie Rodriguez Physical Therapist 107 Congress Dr., Sullivan, MO 63080 2007-05-10
1033261649 Clyde William Sellers II Chiropractor 405 Walmart Dr., Sullivan, MO 63080 2007-01-17
1407954209 Sara Skidmore Occupational Therapist 2022 Phoenix Drive, Sullivan, MO 63080 2006-09-20
1083724116 Sharon A Titter Physical Therapist 107 Progress Dr, Sullivan, MO 63080 2006-08-30
1437135571 Thanh Duy Vo Pediatrics 486 N Church St, Sullivan, MO 63080 2005-12-20
1508849316 Air Evac Ems Inc Ambulance 673 Sappington Bridge Rd, Sullivan, MO 63080 2005-11-25
1790205656 Melissa Leigh Hildebrandt Counselor 101 Progress Pkwy, Sullivan, MO 63080 2017-06-22
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164055323 Cye Sullivan Hco, LLC Assisted Living Facility 20 Courtyard Blvd, Sullivan, IL 61951-7001 2020-02-17
1730552811 Magnolia Health Systems 49, LLC Assisted Living Facility 2009 N Hospital Blvd, Sullivan, IN 47882-7658 2015-11-11
1386980068 Americare At Victorian Manor of Sullivan, LLC Assisted Living Facility 1250 E Springfield Rd, Sullivan, MO 63080-1358 2012-12-27
1598918385 Petersen Health Care II, Inc. Assisted Living Facility 20 Courtyard Boulevard, Sullivan, IL 61951-7001 2008-10-24
1588798995 Alternatives Care System, Inc. Assisted Living Facility 2665 N Service Rd E, Sullivan, MO 63080-4024 2007-03-15
1447206768 Sullivan Residential, LLC Assisted Living Facility 775 Dunsford Dr, Sullivan, MO 63080-1270 2006-05-26

Providers in the same taxonomy and state

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
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Competitor

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City SULLIVAN
Zip Code 63080

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Dataset Information

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.

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