Provider Demographics
NPI:1528233392
Name:JAMES L WEBB ENTERPRISES INC
Entity Type:Organization
Organization Name:JAMES L WEBB ENTERPRISES INC
Other - Org Name:WINDEMERE RESIDENTIAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORNING
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:816-741-0753
Mailing Address - Street 1:3100 NW VIVION RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:MO
Mailing Address - Zip Code:64150-9436
Mailing Address - Country:US
Mailing Address - Phone:816-741-0753
Mailing Address - Fax:816-741-3762
Practice Address - Street 1:3100 NW VIVION RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:MO
Practice Address - Zip Code:64150-9436
Practice Address - Country:US
Practice Address - Phone:816-741-0753
Practice Address - Fax:816-741-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO034852310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility