JEFFERSON MANOR
NPI 1417340357
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cape Girardeau, MO

Active since March 17, 2015
902 JEFFERSON AVE, CAPE GIRARDEAU, MO 63703(573) 651-1373(573) 651-1373 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson Manor NPPES

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

JEFFERSON MANOR (NPI 1417340357) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Cape Girardeau, Missouri and active in the NPI registry since March 2015. The organization lists Sharon Louise Armour, Operator, as its authorized official.

NPPES Registry Identity

NPI1417340357
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameJEFFERSON MANOR
Location Address902 JEFFERSON AVECape Girardeau, MO 63703-6755
Mailing Address902 Jefferson AveCape Girardeau, MO 63703-6755 · (573) 651-1373 · Fax (573) 651-1373
Fax(573) 651-1373
Organization SubpartNo
Authorized OfficialSharon Louise ArmourOperator · (573) 651-1373
Enumeration DateMarch 17, 2015
NPI 1417340357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in MO · 041432
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
902 JEFFERSON AVE, Cape Girardeau, MO 63703

Other Providers at the Same Location NPPES

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

Assisted Living Facility
902 JEFFERSON AVE
CAPE GIRARDEAU, MO 63703

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 Jefferson Manor's NPI number?

The NPI number for Jefferson Manor is 1417340357. It was assigned to this organization in the NPPES registry on March 17, 2015.

Where is Jefferson Manor located?

Jefferson Manor is located at 902 Jefferson Ave, Cape Girardeau, MO 63703. The listed phone number is (573) 651-1373.

What is Jefferson Manor's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Jefferson Manor was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.