Organization · Type 2 NPI

KMJ Enterprises Cassville LLC

Skilled Nursing Facility · Cassville, MO

NPI number 1487641841 Active

Practice location

812 Old Exeter Rd
Cassville, MO 65625-1704

Call (417) 847-2184 Map

Fax (417) 847-2642

Mailing address

7 Halsted Cir
Rogers, AR 72756-3185

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	031016 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

3 other providers at this address

Other skilled nursing facility providers in Cassville

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NPI record

NPI: 1487641841
Entity type: Organization (Type 2)
Issued: Sep 30, 2005
Last updated: Jan 20, 2012
Status: Active
Subpart: Yes of KMJ Management

Other names

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Red Rose Health and Rehabilitation Center · doing business as

Authorized official

Jacqueline Michele Rose Hathorn
Managing Member
(479) 636-5716

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487641841

KMJ Enterprises Cassville LLC's National Provider Identifier is 1487641841, issued on Sep 30, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Cassville, MO. The record was last updated on Jan 20, 2012.