Dixie Hardman LLC

Primary specialty

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

License

1911-9257 Issued in MO

Legal business name

DIXIE HARDMAN LLC

Practice address

13407 Byars Rd
Grandview, MO 64030-3307

Phone

(816) 761-6737

Fax

(813) 761-5788

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Miss Dixie Lee Hardman

Title

Ceo

Phone

(816) 761-6737

Specialties & licenses 1

Addresses

Other names 1

• dixie hardman byars home Doing business as

Tax ID family

Dixie Hardman Byars Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dixie Hardman LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Grandview, MO
  • NPI 1770784290
  NPD tax ID

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114083276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13407 BYARS RD",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303307",
            "telephone_number": "816-761-6737",
            "fax_number": "813-761-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 BYARS RD",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303307",
            "telephone_number": "816-761-6737",
            "fax_number": "813-761-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE HARDMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDMAN",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-761-6737",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1911-9257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dixie hardman byars home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Ian Davis
• Christa Dawn Dawson, OD
• Linda Lou Day, PHD
• Sara Beth De Cunha, CMP
• Dominique Simone Devereux, PHARMD
• Dixie Hardman LLC
• Sarah Louise Donahoe, MSCP
• Amanda Downing, CD
• Talia Edwards, PHARMD
• Triseana Edwards

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grandview, MO
• Providers in Grandview, 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 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.