RIVERWAYS SUPPORT SERVICES NPI 1639338759

NPI Information

  • NPI: 1639338759
  • Provider Name: RIVERWAYS SUPPORT SERVICES
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 114 E MAIN ST
    WEST PLAINS, MO
    ZIP 65775
  • Phone: (417) 256-0191

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NPI Details

RIVERWAYS SUPPORT SERVICES is an adult care home custodial care facility in West Plains, MO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. RIVERWAYS SUPPORT SERVICES NPI is 1639338759. The provider is registered as an organization entity type.

The provider's business location address is:

114 E MAIN ST
WEST PLAINS, MO
ZIP 65775-556
Phone: (417) 256-0191

The provider's authorized official is Carrie Lynn Womack .
The authorized official title is Lead Office Assistant and has the following contact phone number (417) 256-0191.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 6/4/2008.

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
1311ZA0620XCustodial Care FacilityAdult Care Home294954102MISSOURIYes

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
1294954102MEDICAIDMISSOURI

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: 11/21/2025

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