Greater Heights RCF, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

391-9391 Issued in MO

Legal business name

GREATER HEIGHTS RCF, LLC

Practice address

600 N Front St
Park Hills, MO 63601-3804

Phone

(573) 431-0344

Fax

(573) 431-3229

NPI assigned

Mar 20, 2007

Last updated

Jun 2, 2011By 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

Rodney Greenwalt

Title

Administrator

Phone

(573) 431-0344

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1144345778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010603",
            "telephone_number": "573-431-0344",
            "fax_number": "573-431-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N FRONT ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636013804",
            "telephone_number": "573-431-0344",
            "fax_number": "573-431-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEIGHTS RCF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "GREENWALT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-431-0344"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MO",
            "license": "391-9391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266733005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.