Chateau Girardeau

LBN: Cape Retirement Community, Inc.
Chateau Girardeau is an health care organization with primary practice located at 3120 Independence St , Cape Girardeau MO 63703-5043. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Cape Retirement Community, Inc. can be contacted via phone (573) 335-1281, or through Boeller, Keith via phone (573) 651-8186.

Contact Information

Primary practice address
3120 Independence St Cape Girardeau MO 63703-5043
Fax: (573) 651-8184
Website:
Authorized official contact:
Name: Boeller, Keith

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 031333 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031705 Missouri

Profile Details

NPI number 1659334167
LBN Legal business name Cape Retirement Community, Inc.
DBA Doing business as Chateau Girardeau
Authorized official Boeller, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 22nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659334167 NPPES
Missouri MEDICAID 107809105

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