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ANN'S GROUP HOME NPI 1114046224


NPI Information

NPI: 1114046224
Provider Name: ANN'S GROUP HOME
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
319 LYNN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 472-0243
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ANN'S GROUP HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Sikeston, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ANN'S GROUP HOME NPI is 1114046224. The provider is registered as an organization entity type.

The provider's business location address is:

319 LYNN ST
SIKESTON, MO
ZIP 63801-042
Phone: (573) 472-0243

The provider's authorized official is Nola Ann Newton .
The authorized official title is Administrator and has the following contact phone number (573) 472-0243.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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