GRAN VILLAS CLINTON
NPI 1609957414
Clinic/Center - Adult Day Care in Clinton, MO
- Organization
- Clinic/Center
- Adult Day Care
About GRAN VILLAS CLINTON
This page provides the complete NPI Profile along with additional information for Gran Villas Clinton, a provider established in Clinton, Missouri operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1609957414 assigned on October 2006. The practitioner's primary taxonomy code is 261QA0600X with license number 032347 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Gran Villas Clinton. The authorized official of this NPI record is Ms. Cathy W Fisher (Chief Financial Officer)
- NPI
- 1609957414 Verify this NPI
- Provider Legal Name
- MEDICALODGES, INC.
- Other Organization Name
- GRAN VILLAS CLINTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 509 W ROGERS ST CLINTON, MO 64735
- Location Phone
- (660) 885-9770
- Location Fax
- (660) 885-9844
- Mailing Address
- 509 W ROGERS ST CLINTON, MO 64735
- Mailing Phone
- (660) 885-9770
- Mailing Fax
- (660) 885-9844
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2006
- Last Update Date
- 06-23-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
- License No.
- 032347
- License State
- MO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 032347 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 032347 | MEDICAID (05) | MO |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609957414, enumerated as an "organization" on October 18, 2006.
The provider is located at 509 W ROGERS ST CLINTON, MO 64735 and the phone number is (660) 885-9770.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
