SENIOR LIFE, INC. (NPI# 1881862381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881862381 |
| Entity Type | Organization |
| Organization Name | SENIOR LIFE, INC. |
| Other Organization Name | SAXTON COUNTRY VILLA |
| Practice Address |
1616 Weisenborn Rd Saint Joseph MO 64507-2527 |
| Practice Telephone | 8162329874 |
| Practice Fax Number | 8163644454 |
| Mailing Telephone | 8162329874 |
| Mailing Fax Number | 8163644454 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | LORI A WELTER (BUSINESS MANAGER) |
| Authorized Official Telephone | 8162329874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 034216 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 262051600 | 05 |
| Other Name | Type Code |
|---|---|
| saxton country villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316089030 | Senior Life, Inc. | Assisted Living Facility | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2007-02-12 |
| Street Address |
1616 WEISENBORN RD |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316089030 | Senior Life, Inc. | Assisted Living Facility | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2007-02-12 |
| 1215584354 | Tara Ploeger | Occupational Therapy Assistant | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2019-08-22 |
| 1891153250 | Kensey Neely | Speech-Language Pathologist | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2016-02-01 |
| 1669887352 | Diversicare of Riverside, LLC | Assisted Living Facility | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2014-06-22 |
| 1194140434 | Senior Life Inc. | Skilled Nursing Facility | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626371 | Ladies Union Benevolent Association | Assisted Living Facility | 101 Far West Dr, Saint Joseph, MO 64506-3500 | 2019-06-05 |
| 1063740447 | The Willows | Assisted Living Facility | 3507 Hollywood Rd, Saint Joseph, MI 49085-9581 | 2009-11-24 |
| 1598092298 | The Willows | Assisted Living Facility | 3440 Niles Rd, Saint Joseph, MI 49085-9601 | 2009-11-17 |
| 1174651269 | Heartland Residential Care Facility | Assisted Living Facility | 117 S 15th St, Saint Joseph, MO 64501-2904 | 2007-03-01 |
| 1093843997 | Heartland Residential Care Facility | Assisted Living Facility | 1311 Francis St, Saint Joseph, MO 64501-2318 | 2007-03-01 |
| 1316089030 | Senior Life, Inc. | Assisted Living Facility | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2007-02-12 |
| 1578177994 | Wtc Sub LLC | Assisted Living Facility | 509 Ship St, Saint Joseph, MI 49085-1118 | 2020-09-02 |
| 1669887352 | Diversicare of Riverside, LLC | Assisted Living Facility | 1616 Weisenborn Rd, Saint Joseph, MO 64507-2527 | 2014-06-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
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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.