NPIMap

Organization Active NPI

Family Self Help Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Joplin, MO
National Provider Identifier
1134574411
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FAMILY SELF HELP CENTER, INC.
Doing business as
Lafayette House
Practice address
1809 S Connor Ave
Joplin, MO 64804-1837
Phone
(417) 782-1772
Fax
(417) 782-3832
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Alison Malinowski Sunday
Title
Executive Director
Phone
(417) 782-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1809 S Connor Ave
Joplin, MO 64804-1837

Mailing address

PO Box 1765
Joplin, MO 64802-1765
Phone (417) 782-1772

Other identifiers 1

IdentifierTypeStateIssuer
862946100MedicaidMO

Other names 1

  • Lafayette House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Self Help Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1134574411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648021765",
            "telephone_number": "417-782-1772",
            "fax_number": "417-782-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 S CONNOR AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041837",
            "telephone_number": "417-782-1772",
            "fax_number": "417-782-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SELF HELP CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "MALINOWSKI SUNDAY",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-782-1772"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862946100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.