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STONEY RIDGE VILLAGE I LLC
NPI 1336971233
Assisted Living Facility in Sedalia, MO

Active since August 19, 2024
25023 BOTHWELL PARK RD, SEDALIA, MO 65301(660) 827-3993 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stoney Ridge Village I Llc NPPES

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

STONEY RIDGE VILLAGE I LLC (NPI 1336971233) is a healthcare organization registered as an assisted living facility in Sedalia, Missouri and active in the NPI registry since August 2024. The organization lists Raquel Edery, Owner, as its authorized official.

NPPES Registry Identity

NPI1336971233
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTONEY RIDGE VILLAGE I LLC
Location Address25023 BOTHWELL PARK RDSedalia, MO 65301-0084
Mailing Address445 Central Ave Unit 215Cedarhurst, NY 11516-2021
Phone(660) 827-3993
Organization SubpartNo
Authorized OfficialRaquel EderyOwner · (516) 708-3503
Enumeration DateAugust 19, 2024
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1336971233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

25023 BOTHWELL PARK RD, Sedalia, MO 65301
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARADIGM RECOVERY CENTERS LLC
Substance Abuse Rehabilitation Facility
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (646) 932-1839
NICOLE MARIE SHY OTR/L
Occupational Therapist
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (660) 827-3993
ANEW HEALTHCARE OPERATIONS - SEDALIA, LLC
Assisted Living Facility
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (816) 550-6418
PARADIGM RECOVERY CENTERS - SEDALIA LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (660) 460-5750
AHG-STONEY RIDGE, LLC
Clinic/Center (Health Service)
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (660) 827-3993
MR. LESLIE COCHREN COTA
Occupational Therapy Assistant
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (660) 827-3993
MRS. TERESA LYNN CUMMINS PTA
Physical Therapy Assistant
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (660) 827-3993
SEDALIA HEALTH GROUP, LLC
Assisted Living Facility
25023 BOTHWELL PARK RD
SEDALIA, MO 65301
Pettis County (816) 550-6418

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 Stoney Ridge Village I LLC's NPI number?

The NPI number for Stoney Ridge Village I LLC is 1336971233. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Stoney Ridge Village I LLC located?

Stoney Ridge Village I LLC is located at 25023 Bothwell Park Rd, Sedalia, MO 65301. The listed phone number is (660) 827-3993.

What is Stoney Ridge Village I LLC'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 Stoney Ridge Village I LLC was last updated on January 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.