Organization Active NPI

Lifepath of Mid-Missouri

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbia, MO
National Provider Identifier
1356062228
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LIFEPATH OF MID-MISSOURI
Practice address
5802 Oswago Cir
Columbia, MO 65201-2840
Phone
(573) 529-4708
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Pamela Auma MulumbyNPI 1477281442
Title
Owner & Ceo
Phone
(573) 529-4708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

5802 Oswago Cir
Columbia, MO 65201-2840

Mailing address

5802 Oswago Cir
Columbia, MO 65201-2840
Phone (573) 529-4708

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1356062228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 OSWAGO CIR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012840",
            "telephone_number": "573-529-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 OSWAGO CIR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012840",
            "telephone_number": "573-529-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH OF MID-MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MULUMBY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "AUMA",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "573-529-4708"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.