North Village Park

LBN: North Village Park, Llc
North Village Park is an health care organization with primary practice located at 2041 Silva Ln , Moberly MO 65270-3658. 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. North Village Park, Llc can be contacted via phone (660) 263-1894, or through Dundoo, Ashwin via phone (314) 543-3800.

Contact Information

Primary practice address
2041 Silva Ln Moberly MO 65270-3658
Phone: (660) 263-1894
Fax: (660) 263-0751
Website:
Map and Directions
Authorized official contact:
Name: Dundoo, Ashwin
Phone: (314) 543-3800

Health care specialties

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

Profile Details

NPI number 1821085655
LBN Legal business name North Village Park, Llc
DBA Doing business as North Village Park
Authorized official Dundoo, Ashwin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated May 30th, 2013 - about 12 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 1821085655 NPPES
Missouri MEDICAID 102561404

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