Effie Shurtz Home

Primary specialty

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

Legal business name

EFFIE SHURTZ HOME

Practice address

22 Margaret St
East Prairie, MO 63845-9195

Phone

(573) 649-5054

NPI assigned

May 22, 2007

Last updated

Jul 28, 2008By 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

Mrs. Effie Shurtz

Title

Owner

Phone

(573) 649-5054

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1174733174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARGARET ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638459195",
            "telephone_number": "573-649-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MARGARET ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638459195",
            "telephone_number": "573-649-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFIE SHURTZ HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-649-5054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263722001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven L. Douglas, M.D.
• Tammy Easley, PMHNP-BC
• East Prairie R-II School District
• Effie Shurtz Group Home
• Effie Shurtz Home
• Ferguson Medical Group
• Ferguson Medical Group Rural Health Center Inc
• Bethany Ferrell
• Claire E Grisham, FNP
• Rebecca Camille Hatton, COTA/L

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Prairie, MO
• Providers in East Prairie, 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 Jul 28, 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.