PARKSIDE MANOR LLC (NPI# 1457917247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457917247 |
| Entity Type | Organization |
| Organization Name | PARKSIDE MANOR LLC |
| Practice Address |
300 S Saint Charles St Bowling Green MO 63334-2221 |
| Practice Telephone | 5733249918 |
| Mailing Telephone | 5733249918 |
| Mailing Fax Number | 5733249918 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | KAREN HARROWER (ADIMISTRATOR) |
| Authorized Official Telephone | 5733249918 |
| Authorized Official Credential | OWNER |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386875656 | Parkside Manor LLC | Custodial Care Facility | 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 | 2009-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PARKSIDE MANOR LLC | 25 Andrews Avenue, Falmouth, ME 04105 |
| Street Address |
300 S SAINT CHARLES ST |
| City | BOWLING GREEN |
| State | MO |
| Zip Code | 63334-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690871 | Moore-pike Nursing Home Inc. | Skilled Nursing Facility | 300 S Saint Charles St, Bowling Green, MO 63334-2221 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
| 1609112754 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 710 Bus. Hwy 61 South, Bowling Green, MO 63334 | 2012-12-18 |
| 1346447158 | Tomas V Cabrera | Contractor | 13698 Pike 46 Airport Road, Bowling Green, MO 63334 | 2007-06-27 |
| 1720143621 | North East Commuinty Action Corp | Home Health Aide | 16 North Court Street, Bowling Green, MO 63334 | 2006-12-22 |
| 1649361205 | Anita J Huber | Chiropractor | 1420 Bus. Hwy. 61 South, Suite D, Bowling Green, MO 63334 | 2006-09-27 |
| 1912930397 | Dialysis Clinic Inc. | Clinic/Center | 4 Town Center Dr Ste F, Bowling Green, MO 63334 | 2006-07-08 |
| 1275918856 | Stephanie Diane Walker | Nurse Practitioner | 1420 S Business 61, Bowling Green, MO 63334 | 2015-07-24 |
| 1568664308 | Howard Jay Schneider | Dentist | 1015 W Adams St, Bowling Green, MO 63334 | 2007-06-04 |
| Find all providers in zip 63334 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1245893296 | Michele Vinson Investments LLC Dba Bolivar Manor House | Assisted Living Facility | 404 E Broadway St, Bolivar, MO 65613-2019 | 2019-04-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 63334 |
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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.