NPIMap

Organization Active NPI

Chariton Valley Association, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kirksville, MO
National Provider Identifier
1295862050
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CHARITON VALLEY ASSOCIATION, INC.
Practice address
34 Grim Dr
Kirksville, MO 63501-4437
Phone
(660) 627-1600
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Mr. Terry Combs
Title
Executive Director
Phone
(660) 665-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

34 Grim Dr
Kirksville, MO 63501-4437

Mailing address

1905 S High St
Kirksville, MO 63501-4764
Phone (660) 665-1111

National Provider Directory

National Provider Directory
Tax ID family
Chariton Valley Association Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34 Grim Dr
Kirksville, MO 63501
Phone (660) 627-1600

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1295862050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S HIGH ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014764",
            "telephone_number": "660-665-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GRIM DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014437",
            "telephone_number": "660-627-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITON VALLEY ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-665-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.