COUNCIL OF CHURCHES OF THE OZARKS NPI 1962527689

NPI Information

NPI: 1962527689
Provider Name: COUNCIL OF CHURCHES OF THE OZARKS

Doing Business As: DAYBREAK ADULT DAY CARE / ELDER CARE TRANSIT SERVICE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1461 E SEMINOLE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 881-0133
Get Directions

COUNCIL OF CHURCHES OF THE OZARKS is an adult day care clinic center in Springfield, MO. COUNCIL OF CHURCHES OF THE OZARKS NPI is 1962527689. The provider is registered as an organization entity type.
The provider Is Doing Business As Daybreak Adult Day Care / Elder Care Transit Service.

The provider's business location address is:

1461 E SEMINOLE ST
SPRINGFIELD, MO
ZIP 65804-431
Phone: (417) 881-0133
Fax: (417) 882-3793

The provider's authorized official is Mark William Struckhoff .
The authorized official title is Executive Director and has the following contact phone number (417) 862-3586.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 2/14/2013.

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
1	261QA0600X	Clinic/Center	Adult Day Care	1063	MISSOURI	Yes
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		ER019913016	MISSOURI	No
3	343800000X	Secured Medical Transport (VAN)		U182232013	MISSOURI	No
4	343900000X	Non-emergency Medical Transport (VAN)		U182232013	MISSOURI	No
5	385H00000X	Respite Care				No
6	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities			No

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
1	291869501	MEDICAID	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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