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1505 HEALTH CARE SERVICES INC. NPI 1023540093


NPI Information

NPI: 1023540093
Provider Name: 1505 HEALTH CARE SERVICES, INC.

Doing Business As: CLARK CARE CENTER - ONE

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1505 E ASHLAND ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-3900
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1505 HEALTH CARE SERVICES, INC. is an assisted living and mental illness assisted living facility in Nevada, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. 1505 HEALTH CARE SERVICES, INC. NPI is 1023540093. The provider is registered as an organization entity type.
The provider Is Doing Business As Clark Care Center - One.

The provider's business location address is:

1505 E ASHLAND ST
NEVADA, MO
ZIP 64772-025
Phone: (417) 667-3900
Fax: (417) 661-3923

The provider's authorized official is Karen Ruth Clark .
The authorized official title is President/secretary and has the following contact phone number (417) 448-7152.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/30/2017.


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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.