Rebuild Contracting LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REBUILD CONTRACTING LLC

Practice address

1783 Possum Hollow Dr
Camdenton, MO 65020-6709

Phone

(573) 434-1601

Fax

(573) 346-5530

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Jason Kyle Dampier

Title

Owner

Phone

(573) 434-1601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1043870181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3377",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650203377",
            "telephone_number": "573-434-1601",
            "fax_number": "573-346-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 POSSUM HOLLOW DR",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206709",
            "telephone_number": "573-434-1601",
            "fax_number": "573-346-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD CONTRACTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "DAMPIER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-434-1601"
    },
    "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": []
}

• Lisa Denine Patrick, LMSW
• Nancy J Pope, LPC, MS
• Gena Pugh
• Erin Marie Rademan-Alonso, CNP-F
• Judy A Raeth, RDMS
• Nasheena Richardson, LPC
• Stephen Mark Richardson, LICENSED COUNSELOR
• Richland Medical Center, Inc
• Richland Medical Center, Inc
• Richland Medical Center, Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.