Special T Acres LLC

Primary specialty

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

Legal business name

SPECIAL T ACRES LLC

Practice address

3590 Stoutland Creek Rd
Stoutland, MO 65567

Phone

(417) 286-4907

Fax

(417) 286-3907

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 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

Leland Timm

Title

Administrator

Phone

(417) 286-3639

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1275656316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 STOUTLAND CREEK RD",
            "city": "STOUTLAND",
            "state": "MO",
            "postal_code": "65567",
            "telephone_number": "417-286-4907",
            "fax_number": "417-286-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 STOUTLAND CREEK RD",
            "city": "STOUTLAND",
            "state": "MO",
            "postal_code": "65567",
            "telephone_number": "417-286-4907",
            "fax_number": "417-286-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL T ACRES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "LELAND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-286-3639"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855178703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Franklin
• Stoutland R 2 School District
• Carol R Walker, SPEECH

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stoutland, MO
• Providers in Stoutland, 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 Jul 8, 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.