Wagner Residential Care Inc
NPI 1154673887 · Assisted Living Facility · Fredericktown, MO
Wagner Residential Care Inc is a Assisted Living Facility organization in Fredericktown, MO (NPI 1154673887).
Provider details
- NPI number
- 1154673887
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Teena Wagner, Owner/Manager(573) 783-4511
- License
- 040545 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-10-04
- Last updated
- 2016-04-04
Frequently asked questions
- What is Wagner Residential Care Inc's NPI number?
- Wagner Residential Care Inc's National Provider Identifier (NPI) is 1154673887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Residential Care Inc?
- Wagner Residential Care Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Wagner Residential Care Inc located?
- Wagner Residential Care Inc's practice location on file with NPPES is 320 N Chamber Dr, Fredericktown, MO 63645-0320.
- What is Wagner Residential Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Wagner Residential Care Inc is (573) 783-4511.
- Who is the authorized official for Wagner Residential Care Inc?
- The authorized official listed on Wagner Residential Care Inc's NPPES record is Teena Wagner, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Residential Care Inc's NPI active?
- Yes — Wagner Residential Care Inc's NPI (1154673887) is active in the NPPES registry as of the last update on 2016-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.