COLE COUNTY RESIDENTIAL SERVICES INC NPI 1376618066

NPI Information

  • NPI: 1376618066
  • Provider Name: COLE COUNTY RESIDENTIAL SERVICES, INC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 1800 TANNER BRIDGE RD
    JEFFERSON CITY, MO
    ZIP 65101
  • Phone: (573) 634-4555

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NPI Details

COLE COUNTY RESIDENTIAL SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Jefferson City, 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. COLE COUNTY RESIDENTIAL SERVICES, INC NPI is 1376618066. The provider is registered as an organization entity type.

The provider's business location address is:

1800 TANNER BRIDGE RD
JEFFERSON CITY, MO
ZIP 65101-848
Phone: (573) 634-4555

The provider's authorized official is Jim Casey .
The authorized official title is Executive Director and has the following contact phone number (573) 634-4555.

The enumeration date for this NPI number is 11/21/2006 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 DisabilitiesMISSOURIYes

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: 3/30/2025

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