Katy Manor

LBN: Cooper County Nursing Home District No 1
Katy Manor is an health care organization with primary practice located at 205 Prospect Ave , Pilot Grove MO 65276-1111. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Cooper County Nursing Home District No 1 can be contacted via phone (660) 834-3111, or through Twenter, Gina via phone (660) 834-3111.

Contact Information

Primary practice address
205 Prospect Ave Pilot Grove MO 65276-1111
Phone: (660) 834-3111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Twenter, Gina
Phone: (660) 834-3111

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031713 Missouri

Profile Details

NPI number 1497788525
LBN Legal business name Cooper County Nursing Home District No 1
DBA Doing business as Katy Manor
Authorized official Twenter, Gina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated May 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497788525 NPPES
Missouri MEDICAID 102642600

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