The Villas

LBN: Desoto Residential Care Apts Inc
The Villas is an health care organization with primary practice located at 1550 Villas Drive , Desoto MO 63020-2586. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Desoto Residential Care Apts Inc can be contacted via phone (636) 586-6559, or through Otke, Tom via phone (573) 659-6607.

Contact Information

Primary practice address
1550 Villas Drive Desoto MO 63020-2586
Phone: (636) 586-6559
Fax: (636) 586-1604
Website:
Map and Directions
Authorized official contact:
Name: Otke, Tom
Phone: (573) 659-6607

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 031261 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031260 Missouri

Profile Details

NPI number 1972586659
LBN Legal business name Desoto Residential Care Apts Inc
DBA Doing business as The Villas
Authorized official Otke, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated Jun 30th, 2008 - about 16 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 1972586659 NPPES
Missouri MEDICAID 266751809
Missouri MEDICAID 107812307

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