Peaceful Pines Residential Care, Inc.
NPI 1942302005 · Assisted Living Facility · Poplar Bluff, MO
Peaceful Pines Residential Care, Inc. is a Assisted Living Facility organization in Poplar Bluff, MO (NPI 1942302005).
Provider details
- NPI number
- 1942302005
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Menckowski, Administrator(573) 714-2838
- License
- 032744 (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
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
Mailing address
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Peaceful Pines Residential Care, Inc.'s NPI number?
- Peaceful Pines Residential Care, Inc.'s National Provider Identifier (NPI) is 1942302005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peaceful Pines Residential Care, Inc.?
- Peaceful Pines Residential Care, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Peaceful Pines Residential Care, Inc. located?
- Peaceful Pines Residential Care, Inc.'s practice location on file with NPPES is 614 County Road 466, Poplar Bluff, MO 63901-2964.
- What is Peaceful Pines Residential Care, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Peaceful Pines Residential Care, Inc. is (573) 778-0497.
- Who is the authorized official for Peaceful Pines Residential Care, Inc.?
- The authorized official listed on Peaceful Pines Residential Care, Inc.'s NPPES record is Kimberly Menckowski, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peaceful Pines Residential Care, Inc.'s NPI active?
- Yes — Peaceful Pines Residential Care, Inc.'s NPI (1942302005) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.