Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southaven Inc

Organization Assisted Living Facility · NPI 1013034602

Southaven Inc is an Assisted Living Facility in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

612 S By-Pass
Kennett, MO 63857
Phone: (573) 888-9213
Fax: (573) 888-9218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 033614 (MO)

Record details

NPI number1013034602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Stoverink — Owner Administrator · (573) 888-9213
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 7, 2008
Mailing address612 South By-Pass, Kennett, MO 63857

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