LOCH HAVEN APARTMENTS (NPI# 1528283892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528283892 |
| Entity Type | Organization |
| Organization Name | LOCH HAVEN APARTMENTS |
| Practice Address |
701 Sunset Hills Dr Macon MO 63552-2134 |
| Mailing Address |
701 Sunset Hills Dr Po Box 187 Macon MO 63552-2134 |
| Practice Telephone | 6603853113 |
| Mailing Telephone | 6603853113 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BARBARA ANN PRIMM (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 6603853113 |
| Authorized Official Credential | BSN,RN,C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
032683 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RCF LICENSE | 032683 | 01 |
| Street Address |
701 SUNSET HILLS DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902139 | Macon County Nursing Home District | Skilled Nursing Facility | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2005-09-14 |
| 1578186763 | Kelli Black | Physical Therapist | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2020-05-21 |
| 1558790881 | Laurie Gilchrist | Speech-Language Pathologist | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2013-11-07 |
| 1922235100 | Adrian Neil Agustin | Physical Therapist | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2009-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1336405257 | Healing Hands Personal Care | Custodial Care Facility | 870 E St, Macon, GA 31206-8338 | 2012-04-04 |
| 1962536672 | Boyd's Rest Home | Custodial Care Facility | 295 Carroll Town Rd, Macon, NC 27551-9292 | 2007-03-15 |
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| 1578107298 | Heart Core LLC | Custodial Care Facility | 810 Kennedy Dr, Warsaw, MO 65355 | 2019-11-06 |
| 1851956247 | Care Enterprises, LLC | Custodial Care Facility | 2034 W College St, Springfield, MO 65806-1524 | 2019-05-01 |
| 1598256653 | Barbara's Precious Generations | Custodial Care Facility | 8604 E 87th St, Raytown, MO 64138-4401 | 2018-05-24 |
| 1275057291 | Love To Life | Custodial Care Facility | 8229 N Broadway, Saint Louis, MO 63147-2323 | 2017-08-01 |
| 1932650850 | Open With Arms LLC | Custodial Care Facility | 4308 Hollow Brook Ct, Florissant, MO 63034-2880 | 2016-10-14 |
| 1376092445 | Grace Consumer Directed Services LLC | Custodial Care Facility | 1600 Heritage Lndg Ste 202a, Saint Peters, MO 63303-8488 | 2016-09-29 |
| 1649726761 | Together Cds LLC | Custodial Care Facility | 917 Delaird Dr, Saint Louis, MO 63137-2717 | 2016-08-29 |
| 1245786631 | Horizon Cds Network LLC | Custodial Care Facility | 1655 Celerity Dr, Florissant, MO 63031-8810 | 2016-08-26 |
| 1053781443 | Vanessa Williams | Custodial Care Facility | 5757 Park Ln, Saint Louis, MO 63147-1019 | 2015-09-29 |
| 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.