KENNETT RESIDENTIAL CARE FACILITY II INC
NPI 1265559280
Assisted Living Facility in Kennett, MO

Q: What is Kennett Residential Care Facility II Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 23, 2007

919 S JACKSON ST, KENNETT, MO 63857(573) 888-1201(573) 888-0114 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kennett Residential Care Facility Ii Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETT RESIDENTIAL CARE FACILITY II INC (NPI 1265559280) is a healthcare organization registered as an assisted living facility in Kennett, Missouri and active in the NPI registry since March 2007. The organization lists Gina Dawn Stoverink, Owner President, as its authorized official.

NPPES Registry Identity

NPI1265559280

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKENNETT RESIDENTIAL CARE FACILITY II INC

Location Address919 S JACKSON STKennett, MO 63857-3803

Mailing Address919 S Jackson StKennett, MO 63857-3803 · (573) 888-1201 · Fax (573) 888-0114

Phone(573) 888-1201

Fax(573) 888-0114

Organization SubpartNo

Authorized OfficialGina Dawn StoverinkOwner President · (573) 888-1201

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 7, 2008

✔ NPI 1265559280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 032637

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

919 S JACKSON ST, Kennett, MO 63857

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Other Identifiers 1

Medicaid266730803MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennett Residential Care Facility II Inc's NPI number?

The NPI number for Kennett Residential Care Facility II Inc is 1265559280. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Kennett Residential Care Facility II Inc located?

Kennett Residential Care Facility II Inc is located at 919 S Jackson St, Kennett, MO 63857. The listed phone number is (573) 888-1201.

What is Kennett Residential Care Facility II Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kennett Residential Care Facility II Inc was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.