Organization Active NPI

Jasper County Sheltered Facilities Board

  • Case Management Agency
  • Joplin, MO
National Provider Identifier
1144502592
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JASPER COUNTY SHELTERED FACILITIES BOARD
Practice address
2000 S Maiden LN
Joplin, MO 64804-0343
Phone
(417) 206-7373
Fax
(417) 206-7374
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Mrs. Alecia Jane Nissen Archer
Title
Executive Director
Phone
(417) 206-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2000 S Maiden LN
Joplin, MO 64804-0343

Mailing address

2000 S Maiden LN
Joplin, MO 64804-0343
Phone (417) 206-7373

Other identifiers 1

IdentifierTypeStateIssuer
153797907MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Jasper County Sheltered Facilities Board2 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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1144502592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040343",
            "telephone_number": "417-206-7373",
            "fax_number": "417-206-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040343",
            "telephone_number": "417-206-7373",
            "fax_number": "417-206-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY SHELTERED FACILITIES BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_middle_name": "JANE NISSEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-206-7373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153797907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 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.