MILLER COUNTY BOARD FOR SERVICES NPI 1790819779

NPI Information

  • NPI: 1790819779
  • Provider Name: MILLER COUNTY BOARD FOR SERVICES
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: MILLER COUNTY GROUP HOME
  • Address: 3811 HIGHWAY D
    LAKE OZARK, MO
    ZIP 65049
  • Phone: (573) 348-3751

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NPI Details

MILLER COUNTY BOARD FOR SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Lake Ozark, 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. MILLER COUNTY BOARD FOR SERVICES NPI is 1790819779. The provider is registered as an organization entity type.
The provider Is Doing Business As Miller County Group Home.

The provider's business location address is:

3811 HIGHWAY D
LAKE OZARK, MO
ZIP 65049-290
Phone: (573) 348-3751

The provider's authorized official is Karla Yeary Lent .
The authorized official title is Director Of Special Services and has the following contact phone number (573) 348-3751.

The enumeration date for this NPI number is 3/14/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities1529-8593MISSOURIYes

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
11750415733MEDICAIDMISSOURI
21881728640MEDICAIDMISSOURI

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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