Provider Demographics
NPI:1548214232
Name:ALVIMA ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ALVIMA ENTERPRISES, INC.
Other - Org Name:GOLDEN HOUR RCF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCUTCHEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-848-2129
Mailing Address - Street 1:106 S HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:MO
Mailing Address - Zip Code:65274-9634
Mailing Address - Country:US
Mailing Address - Phone:660-848-2129
Mailing Address - Fax:660-848-2993
Practice Address - Street 1:106 S HOWARD ST
Practice Address - Street 2:
Practice Address - City:NEW FRANKLIN
Practice Address - State:MO
Practice Address - Zip Code:65274-9634
Practice Address - Country:US
Practice Address - Phone:660-848-2129
Practice Address - Fax:660-848-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO030199310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility