Provider Demographics
NPI:1013784198
Name:RCAL MANAGEMENT LLC
Entity type:Organization
Organization Name:RCAL MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:MATHENY
Authorized Official - Suffix:II
Authorized Official - Credentials:RN
Authorized Official - Phone:417-629-4021
Mailing Address - Street 1:4904 E WELLRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-8706
Mailing Address - Country:US
Mailing Address - Phone:417-629-4021
Mailing Address - Fax:417-623-8900
Practice Address - Street 1:4904 E WELLRIDGE LN
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-8706
Practice Address - Country:US
Practice Address - Phone:417-629-4021
Practice Address - Fax:417-623-8900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility