Otke-Villa Llc

LBN: Otke-Villa Llc
Otke-Villa Llc is an health care organization with primary practice located at 1030 Edmonds St , Jefferson City MO 65109-5213. 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. Otke-Villa Llc can be contacted via phone (573) 635-3381, or through Otke, Tom via phone (573) 659-6607.

Contact Information

Primary practice address
1030 Edmonds St Jefferson City MO 65109-5213
Phone: (573) 635-3381
Fax: (573) 635-6685
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 032359 Missouri

Profile Details

NPI number 1730131897
LBN Legal business name Otke-Villa Llc
DBA Doing business as
Authorized official Otke, Tom
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Aug 22nd, 2020 - 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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