Provider Demographics
NPI:1023220811
Name:MISSOURI VETERANS COMMISSION
Entity Type:Organization
Organization Name:MISSOURI VETERANS COMMISSION
Other - Org Name:MISSOURI VETERANS HOME WARRENSBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ENDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA, LNHA
Authorized Official - Phone:660-543-5064
Mailing Address - Street 1:1300 VETERANS ROAD
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093
Mailing Address - Country:US
Mailing Address - Phone:660-543-5064
Mailing Address - Fax:660-543-5075
Practice Address - Street 1:1300 VETERANS ROAD
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093
Practice Address - Country:US
Practice Address - Phone:660-543-5064
Practice Address - Fax:660-543-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility