PEACEFUL PINES RESIDENTIAL CARE, INC.
NPI 1942302005
Assisted Living Facility in Poplar Bluff, MO

Q: What is Peaceful Pines Residential Care, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 01, 2006

614 COUNTY ROAD 466, POPLAR BLUFF, MO 63901(573) 778-0497 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Peaceful Pines Residential Care, Inc. NPPES

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

PEACEFUL PINES RESIDENTIAL CARE, INC. (NPI 1942302005) is a healthcare organization registered as an assisted living facility in Poplar Bluff, Missouri and active in the NPI registry since September 2006. The organization lists Kimberly Menckowski, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942302005

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePEACEFUL PINES RESIDENTIAL CARE, INC.

Location Address614 COUNTY ROAD 466Poplar Bluff, MO 63901-2964

Mailing Address614 County Road 466Poplar Bluff, MO 63901-2964 · (573) 778-0497

Phone(573) 778-0497

Organization SubpartNo

Authorized OfficialKimberly MenckowskiAdministrator · (573) 714-2838

Enumeration DateSeptember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1942302005 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 · 032744

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.

614 COUNTY ROAD 466, Poplar Bluff, MO 63901

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

OWEN ACRES LLC

Assisted Living Facility

614 COUNTY ROAD 466
POPLAR BLUFF, MO 63901

Butler County (573) 778-0497

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 Peaceful Pines Residential Care, Inc.'s NPI number?

The NPI number for Peaceful Pines Residential Care, Inc. is 1942302005. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Peaceful Pines Residential Care, Inc. located?

Peaceful Pines Residential Care, Inc. is located at 614 County Road 466, Poplar Bluff, MO 63901. The listed phone number is (573) 778-0497.

What is Peaceful Pines Residential Care, 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 Peaceful Pines Residential Care, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.