Organization Active NPI

Luna Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mound City, MO
National Provider Identifier
1043583818
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LUNA SERVICES
Practice address
609 High St
Mound City, MO 64470-1315
Phone
(660) 442-5566
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula Deeanne Luna, M.S.ED., PLPCNPI 1841585544
Title
Independent Contractor
Phone
(660) 442-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

609 High St
Mound City, MO 64470-1315

Mailing address

609 High St
Mound City, MO 64470-1315

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1043583818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 HIGH ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 HIGH ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701315",
            "telephone_number": "660-442-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "DEEANNE",
        "authorized_official_title_or_position": "INDEPENDENT CONTRACTOR",
        "authorized_official_telephone_number": "660-442-5566",
        "authorized_official_credential": "M.S.ED., PLPC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mound City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.