The Robert L. Kyle Center for Semi-Independent Living

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

857777007 Issued in MO

Legal business name

THE ROBERT L. KYLE CENTER FOR SEMI-INDEPENDENT LIVING

Practice address

1201 Tory Ave
Rolla, MO 65401-4546

Phone

(573) 341-5599

Fax

(573) 341-5616

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Marsala

Title

Administrator

Phone

(573) 341-5599

Specialties & licenses 3

Addresses

Tax ID family

The Robert L Kyle Center for Semi-Independent Living2 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.

• The Robert L. Kyle Center for Semi-Independent Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rolla, MO
  • NPI 1730241688
  NPD tax ID

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1194892372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TORY AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014546",
            "telephone_number": "573-341-5599",
            "fax_number": "573-341-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TORY AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014546",
            "telephone_number": "573-341-5599",
            "fax_number": "573-341-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "MO",
            "postal_code": "655591689",
            "country_code": "US",
            "telephone_number": "573-265-1340",
            "fax_number": "573-341-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ROBERT L. KYLE CENTER FOR SEMI-INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "MARSALA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-341-5599"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "857777007",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Taylor, RN
• Janice Tejeda, LMSW
• The Curators of the University of Missouri
• The Jody House
• The Jody House Isl Company LLC
• The Robert L. Kyle Center for Semi-Independent Living
• Theresa Heckman Occupational Therapist
• Erin Marie Thiltgen, ATC
• Samantha Dayle Thomlinson, PLPC
• Tnmo Healthcare, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rolla, MO
• Providers in Rolla, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.