OrganizationActive
Southaven Inc
NPI 1013034602 · Assisted Living Facility · Kennett, MO
Provider details
- NPI number
- 1013034602
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gina Stoverink, Owner Administrator(573) 888-9213
- License
- 033614 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
612 South By-Pass
Kennett, MO 63857
Phone: (573) 888-9213
Fax: (573) 888-9218
Approximate (ZIP-level) locationGet directions
Mailing address
612 South By-Pass
Kennett, MO 63857
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2008-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.