Hurdler Outreach Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HURDLER OUTREACH SERVICES LLC

Practice address

6425 Evanston Ave
Raytown, MO 64133-4931

Phone

(816) 838-9931

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Raphael Murphy, CRADC

Title

Substance Abuse Counselor

Phone

(816) 838-9931

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HURDLER OUTREACH SERVICES LLC Other name

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1073112967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334931",
            "telephone_number": "816-838-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334931",
            "telephone_number": "816-838-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURDLER OUTREACH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "816-838-9931",
        "authorized_official_credential": "CRADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11143",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HURDLER OUTREACH SERVICES LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Raytown, MO
• Providers in Raytown, MO by specialty
• Substance Abuse Rehabilitation Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.