Organization Active NPI

Habcare, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sikeston, MO
National Provider Identifier
1114135928
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1450-6550 Issued in MO
Legal business name
HABCARE, INC.
Practice address
216 Edmondson St
Sikeston, MO 63801-5927
Phone
(573) 417-2383
NPI assigned
May 18, 2007
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Paula Brandt
Title
President
Phone
(324) 726-6939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1450-6550 MO Primary

Addresses

Primary practice location

216 Edmondson St
Sikeston, MO 63801-5927

Mailing address

1942 McCausland Ave
Saint Louis, MO 63117-1906
Phone (314) 726-6939

National Provider Directory

National Provider Directory
Tax ID family
Habcare Inc2 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.

Locations

216 Edmondson St
Sikeston, MO 63801
Phone (573) 417-2383

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1114135928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 MCCAUSLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171906",
            "telephone_number": "314-726-6939",
            "fax_number": "314-726-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 EDMONDSON ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015927",
            "telephone_number": "573-417-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "324-726-6939"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1450-6550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.