Autumn Oaks Caring Center

LBN: Mountain Grove 2 Inc
Autumn Oaks Caring Center is an health care organization with primary practice located at 1310 N Hovis St , Mountain Grove MO 65711-1219. 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. Mountain Grove 2 Inc can be contacted via phone (417) 926-5128, or through Bedell, Donald B via phone (573) 471-1276.

Contact Information

Primary practice address
1310 N Hovis St Mountain Grove MO 65711-1219
Phone: (417) 926-5128
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bedell, Donald B
Phone: (573) 471-1276

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 044753 Missouri

Profile Details

NPI number 1669404638
LBN Legal business name Mountain Grove 2 Inc
DBA Doing business as Autumn Oaks Caring Center
Authorized official Bedell, Donald B
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 30th, 2021 - about 4 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 1669404638 NPPES
Missouri MEDICAID 101472603

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