Active NPI
His Meiner Miracles
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Columbia, MO
National Provider Identifier
1003933540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 6059-8632
- Legal business name
- HIS MEINER MIRACLES
- Practice address
- 7770 E Mexico Gravel Rd
Columbia, MO 65202-8983 - Phone
- (573) 474-0333
- Fax
- (573) 474-0333
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Meiners
- Title
- Director
- Phone
- (573) 474-0333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 6059-8632 | MO | Primary |
Addresses
Primary practice location
7770 E Mexico Gravel Rd
Columbia, MO 65202-8983
Mailing address
7770 E Mexico Gravel Rd
Columbia, MO 65202-8983
Phone (573) 474-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6059-8632 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003933540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 E MEXICO GRAVEL RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652028983",
"telephone_number": "573-474-0333",
"fax_number": "573-474-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 E MEXICO GRAVEL RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652028983",
"telephone_number": "573-474-0333",
"fax_number": "573-474-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIS MEINER MIRACLES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEINERS",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "573-474-0333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": "6059-8632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6059-8632",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.