Lake Ozark Retirement Center, Inc.

LBN: Lake Ozark Retirement Center, Inc.
Lake Ozark Retirement Center, Inc. is an health care organization with primary practice located at 872 College Blvd , Osage Beach MO 65065-8688. 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. Lake Ozark Retirement Center, Inc. can be contacted via phone (573) 302-0900, or through Otke, Tom via phone (573) 659-6607.

Contact Information

Primary practice address
872 College Blvd Osage Beach MO 65065-8688
Phone: (573) 302-0900
Fax: (573) 302-0146
Website:
Map and Directions
Authorized official contact:
Name: Otke, Tom
Phone: (573) 659-6607

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030631 Missouri

Profile Details

NPI number 1710969571
LBN Legal business name Lake Ozark Retirement Center, Inc.
DBA Doing business as
Authorized official Otke, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 9th, 2008 - about 17 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 1710969571 NPPES
Missouri MEDICAID 108303207

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