Healthcare Provider Details

I. General information

NPI: 1114726569
Provider Name (Legal Business Name): CHAPTERS JOPLIN OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S NORTHPARK LN
JOPLIN MO
64801-8426
US

IV. Provider business mailing address

1734 GILSINN LN
FENTON MO
63026-2004
US

V. Phone/Fax

Practice location:
  • Phone: 417-623-4313
  • Fax:
Mailing address:
  • Phone: 314-312-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TYLER BRADY
Title or Position: CFO
Credential:
Phone: 314-312-1985