THE ARC OF THE OZARKS NPI 1205044039

NPI Information

NPI: 1205044039
Provider Name: THE ARC OF THE OZARKS

Other Name: THE ARC OF THE OZARKS - BETH COURT

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3216 BETH CT
GRAIN VALLEY, MO
ZIP 64029
Phone: (417) 868-7223
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THE ARC OF THE OZARKS is a community based residential treatment facility, intellectual and/or developmental disabilities in Grain Valley, 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. THE ARC OF THE OZARKS NPI is 1205044039. The provider is registered as an organization entity type.
The provider Other Name Is The Arc Of The Ozarks - Beth Court.

The provider's business location address is:

3216 BETH CT
GRAIN VALLEY, MO
ZIP 64029-423
Phone: (417) 868-7223

The provider's authorized official is Michael Powers .
The authorized official title is President/ceo and has the following contact phone number (417) 864-7887.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 1/24/2019.

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
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	852607001	MEDICAID	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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