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MINGO RESIDENTIAL CARE OF PUXICO LLC
NPI 1932732690
Custodial Care Facility - Adult Care Home in Puxico, MO

Active since February 20, 2020
24080 STATE HIGHWAY 51, PUXICO, MO 63960(573) 471-0466(573) 471-4918 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2020, Feb 20, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About MINGO RESIDENTIAL CARE OF PUXICO LLC

This page provides the complete NPI Profile along with additional information for Mingo Residential Care Of Puxico Llc, a provider established in Puxico, Missouri operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1932732690 assigned on February 2020. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Terry R Cole (Owner)

NPI
1932732690 Verify this NPI
Provider Name
MINGO RESIDENTIAL CARE OF PUXICO LLC
Entity Type
Organization
Location Address
24080 STATE HIGHWAY 51 PUXICO, MO 63960
Location Phone
(573) 471-0466
Location Fax
(573) 471-4918
Mailing Address
1515 E MALONE AVE SIKESTON, MO 63801
Mailing Phone
(573) 380-4413
Mailing Fax
(573) 471-4918
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2020
Last Update Date
02-27-2020
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRY R COLE

Authorized Official Title
OWNER
Authorized Official Phone
(573) 380-4113

Reviews for MINGO RESIDENTIAL CARE OF PUXICO LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

CROSSTREE HEALTHCARE MINGO LLC
Assisted Living Facility
24080 STATE HIGHWAY 51
PUXICO, MO 63960
Stoddard County (573) 217-8669

Frequently Asked Questions

What is MINGO RESIDENTIAL CARE OF PUXICO LLC's NPI number?

The NPI number assigned to this healthcare provider is 1932732690, enumerated as an "organization" on February 20, 2020.

Where is the provider located?

The provider is located at 24080 STATE HIGHWAY 51 PUXICO, MO 63960 and the phone number is (573) 471-0466.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.