Maurizi Isl Home

Primary specialty

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

License

856917109 Issued in MO

Legal business name

MAURIZI ISL HOME

Practice address

2015 Woodhollow Dr
Columbia, MO 65203-0909

Phone

(573) 256-1296

Fax

(573) 256-1016

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tina D Maurizi

Title

Owner

Phone

(573) 256-1296

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael G Maurizi, MD

  • Psychiatry Physician
  • Moberly, MO
  • NPI 1235252453
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1184754046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 WOODHOLLOW DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030909",
            "telephone_number": "573-256-1296",
            "fax_number": "573-256-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 WOODHOLLOW DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030909",
            "telephone_number": "573-256-1296",
            "fax_number": "573-256-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURIZI ISL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MAURIZI",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-256-1296",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "856917109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856917109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles F Mattingly, DDS
• Maryanne M Matzen, RD, LD
• Pamela Arlene Mauch, PHD
• Amanda M Maune, MSW, LMSW
• Kelly Maunu
• David Brent Mauro, MD
• Christopher Mawhinney, LPC, CRC
• Kathy Elaine Maxey, PT, ATC
• Maximize Wellness Holdings, LLC
• Maxmath Tutoring Online Inc Missouri Branch

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, MO
• Providers in Columbia, 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 Apr 9, 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.