Equilibrium Ranch

LBN: Equilibrium Ranch
Equilibrium Ranch is an health care organization with primary practice located at 81 Pilkenton Ln , Cuba MO 65453-8136. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Nursing & Custodial Care Facilities / Adult Care Home, Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care, Nursing Service Related Providers / Personal Care Attendant. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Equilibrium Ranch can be contacted via phone (573) 885-6443, or through Shelton, Christian B via phone (314) 580-3029.

Contact Information

Primary practice address
81 Pilkenton Ln Cuba MO 65453-8136
Phone: (573) 885-6443
Fax: (844) 851-0578
Website:
Map and Directions
Authorized official contact:
Name: Shelton, Christian B
Phone: (314) 580-3029

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care 364SL0600X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1285398024
LBN Legal business name Equilibrium Ranch
DBA Doing business as
Authorized official Shelton, Christian B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2021
Last updated Oct 27th, 2021 - 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 1285398024 NPPES
Missouri MEDICAID 1841769908
Missouri MEDICAID 1003364969
Missouri MEDICAID 1073655619
Missouri MEDICAID 1164781373
Missouri MEDICAID 1639213366

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