Stonebridge Villa Marie

LBN: Eldercare Of Mid-Missouri Vii, Inc.
Stonebridge Villa Marie is an health care organization with primary practice located at 1030 Edmonds St , Jefferson City MO 65109-5213. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Eldercare Of Mid-Missouri Vii, Inc. can be contacted via phone (573) 761-6700, or through Lierman, Mark via phone (636) 477-3280.

Contact Information

Primary practice address
1030 Edmonds St Jefferson City MO 65109-5213
Phone: (573) 761-6700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lierman, Mark
Phone: (636) 477-3280

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1386801215
LBN Legal business name Eldercare Of Mid-Missouri Vii, Inc.
DBA Doing business as Stonebridge Villa Marie
Authorized official Lierman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated Dec 1st, 2020 - about 5 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 1386801215 NPPES
Missouri MEDICAID 101771905

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