What is Southaven Inc's NPI number?

Southaven Inc's National Provider Identifier (NPI) is 1013034602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Southaven Inc?

Southaven Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).

Where is Southaven Inc located?

Southaven Inc's practice location on file with NPPES is 612 South By-Pass, Kennett, MO 63857.

What is Southaven Inc's phone number?

The practice phone number listed in the NPPES registry for Southaven Inc is (573) 888-9213.

Who is the authorized official for Southaven Inc?

The authorized official listed on Southaven Inc's NPPES record is Gina Stoverink, Owner Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Southaven Inc's NPI active?

Yes — Southaven Inc's NPI (1013034602) is active in the NPPES registry as of the last update on 2008-07-07.

OrganizationActive

Southaven Inc

NPI 1013034602 · Assisted Living Facility · Kennett, MO

Southaven Inc is a Assisted Living Facility organization in Kennett, MO (NPI 1013034602).

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)

Practice location

612 South By-Pass

Kennett, MO 63857

Phone: (573) 888-9213

Fax: (573) 888-9218

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

612 South By-Pass

Kennett, MO 63857

Specialties & taxonomies

Assisted Living FacilityPrimary310400000XLicense 033614 (MO)
Nursing & Custodial Care Facilities

Profile Score

Detailed profile(90/100 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.

Enumerated: 2007-03-26
Last updated: 2008-07-07

Frequently asked questions

What is Southaven Inc's NPI number?: Southaven Inc's National Provider Identifier (NPI) is 1013034602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Southaven Inc?: Southaven Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
Where is Southaven Inc located?: Southaven Inc's practice location on file with NPPES is 612 South By-Pass, Kennett, MO 63857.
What is Southaven Inc's phone number?: The practice phone number listed in the NPPES registry for Southaven Inc is (573) 888-9213.
Who is the authorized official for Southaven Inc?: The authorized official listed on Southaven Inc's NPPES record is Gina Stoverink, Owner Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Southaven Inc's NPI active?: Yes — Southaven Inc's NPI (1013034602) is active in the NPPES registry as of the last update on 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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions