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AVA PLACE
NPI 1790050565
Assisted Living Facility in Ava, MO

Active since March 13, 2012
1011 LYLE STREET, AVA, MO 65608(417) 683-5516 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Mar 21, 2017 and 1 more (4 updates tracked since 2017).

About Ava Place NPPES

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

AVA PLACE (NPI 1790050565) is a healthcare organization registered as an assisted living facility in Ava, Missouri and active in the NPI registry since March 2012. The organization maintains a secondary practice location in Ava and lists Donald B Bedell, President, as its authorized official.

NPPES Registry Identity

NPI1790050565
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVA NO 2 INC
Location Address1011 LYLE STREETAva, MO 65608-5588
Mailing Address731 N Main St, Po Box 1210Sikeston, MO 63801-2151 · (573) 471-1276
Phone(417) 683-5516
Organization SubpartNo
Authorized OfficialDonald B BedellPresident · (573) 471-1276
Enumeration DateMarch 13, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1790050565 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 · 045057
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.
1011 LYLE STREET, Ava, MO 65608
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Other Names 1

Doing Business AsAva Place

Secondary Practice Location 1

Location 11000 NW THIRD STAVA, MO 65608 · Phone (417) 683-6999

Other Identifiers 1

Medicaid268207800MO

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 Ava No 2 Inc's NPI number?

The NPI number for Ava No 2 Inc is 1790050565. It was assigned to this organization in the NPPES registry on March 13, 2012. The provider is doing business as Ava Place.

Where is Ava No 2 Inc located?

Ava No 2 Inc is located at 1011 Lyle Street, Ava, MO 65608. The listed phone number is (417) 683-5516.

What is Ava No 2 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 Ava No 2 Inc was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.