Star Time Riders, Inc.

Primary specialty

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

Legal business name

STAR TIME RIDERS, INC.

Practice address

18315 S Wilmoth Rd
Pleasant Hill, MO 64080-9245

Phone

(816) 540-2346

Fax

(816) 540-2346

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary B. Adams

Title

President

Phone

(816) 540-2346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1104167139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 S WILMOTH RD",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640809245",
            "telephone_number": "816-540-2346",
            "fax_number": "816-540-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 S WILMOTH RD",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640809245",
            "telephone_number": "816-540-2346",
            "fax_number": "816-540-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR TIME RIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-540-2346"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serc Rehabilitation Partners, LLC (Serc)
• Toni L. Shields, RPH
• Kristin Shimel, OTR
• Jared Glen Smiddy, PT, MPT
• Jonathon Stackhouse
• Sugar Creek Equinapy Inc
• Marie Ruth Tabler, APRN, FNP-C
• Dorinda Teem, LPTA
• The Creative Counseling Center LLC
• Michelle Breann Thompson, FNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pleasant Hill, MO
• Providers in Pleasant Hill, 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 Mar 15, 2013; 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.