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Organization Active NPI

Effie Shurtz Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • East Prairie, MO
National Provider Identifier
1104952621
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
277 9507 Issued in MO
Legal business name
EFFIE SHURTZ HOME
Practice address
22 Margaret Dr
East Prairie, MO 63845
Phone
(573) 649-5054
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Effie Shurtz
Title
Owner
Phone
(573) 649-5054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 277 9507 MO Primary

Addresses

Primary practice location

22 Margaret Dr
East Prairie, MO 63845

Mailing address

22 Margaret Dr
East Prairie, MO 63845
Phone (573) 649-5054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104952621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARGARET DR",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "63845",
            "telephone_number": "573-649-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MARGARET DR",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "63845",
            "telephone_number": "573-649-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFIE SHURTZ HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-649-5054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "277 9507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Prairie, 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.

Verify at the official NPI Registry.