MILLER COUNTY BOARD FOR SERVICES FOR THE DEVELOPMENTALLY DISABLED NPI 1881728640

NPI Information

  • NPI: 1881728640
  • Provider Name: MILLER COUNTY BOARD FOR SERVICES FOR THE DEVELOPMENTALLY DISABLED
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • :
  • Address: 3771 HWY D
    LAKE OZARK, MO
    ZIP 65049
  • Phone: (573) 348-3751

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NPI Details

MILLER COUNTY BOARD FOR SERVICES FOR THE DEVELOPMENTALLY DISABLED 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 FOR THE DEVELOPMENTALLY DISABLED NPI is 1881728640. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3771 HWY D
LAKE OZARK, MO
ZIP 65049-290
Phone: (573) 348-3751
Fax: (573) 348-4065

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 3/15/2007 and was last updated on 9/11/2025.

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
1251C00000XDay Training, Developmentally Disabled Services1529-8593MISSOURINo
2320900000XCommunity 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
11790819779MEDICAIDMISSOURI
21750415733MEDICAIDMISSOURI

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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