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JASPER COUNTY SHELTERED FACILITIES ASSOC NPI 1487778155


NPI Information

NPI: 1487778155
Provider Name: JASPER COUNTY SHELTERED FACILITIES ASSOC

Doing Business As: COMMUNITY SUPPORT SERVICES OF MO

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2312 ANNIE BAXTER AVE
JOPLIN, MO
ZIP 64804
Phone: (417) 624-4515
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JASPER COUNTY SHELTERED FACILITIES ASSOC is a community based residential treatment facility, intellectual and/or developmental disabilities in Joplin, 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. JASPER COUNTY SHELTERED FACILITIES ASSOC NPI is 1487778155. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Support Services Of Mo.

The provider's business location address is:

2312 ANNIE BAXTER AVE
JOPLIN, MO
ZIP 64804-329
Phone: (417) 624-4515

The provider's authorized official is Jhan R Hurn .
The authorized official title is Executive Director and has the following contact phone number (417) 624-4515.

The enumeration date for this NPI number is 3/19/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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