River City Living Community

LBN: N & R Of Jefferson City Llc
River City Living Community is an health care organization with primary practice located at 3038 W Truman Blvd , Jefferson City MO 65109-0525. 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. N & R Of Jefferson City Llc can be contacted via phone (573) 893-3404, or through Dasal, Mathias P via phone (573) 481-9625.

Contact Information

Primary practice address
3038 W Truman Blvd Jefferson City MO 65109-0525
Phone: (573) 893-3404
Fax: (573) 893-8374
Website:
Map and Directions
Authorized official contact:
Name: Dasal, Mathias P
Phone: (573) 481-9625

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 043613 Missouri

Profile Details

NPI number 1205381373
LBN Legal business name N & R Of Jefferson City Llc
DBA Doing business as River City Living Community
Authorized official Dasal, Mathias P
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2016
Last updated Aug 18th, 2016 - about 9 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 1205381373 NPPES
Missouri MEDICAID 101456804

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