Pineview Group Home

LBN: Evergreen Group Home
Pineview Group Home is an health care organization with primary practice located at 27 Hopper Trl , Urbana MO 65767-9234. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Evergreen Group Home can be contacted via phone (417) 722-4416, or through Boggs, Gary D via phone (417) 722-4416.

Contact Information

Primary practice address
27 Hopper Trl Urbana MO 65767-9234
Phone: (417) 722-4416
Fax: (417) 722-4417
Website:
Map and Directions
Authorized official contact:
Name: Boggs, Gary D
Phone: (417) 722-4416

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X LC0556542 Missouri

Profile Details

NPI number 1841452109
LBN Legal business name Evergreen Group Home
DBA Doing business as Pineview Group Home
Authorized official Boggs, Gary D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 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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