Pulaski County Group Home

Primary specialty

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

Legal business name

PULASKI COUNTY GROUP HOME

Practice address

307 Keeth Road
Crocker, MO 65452

Phone

(573) 736-5603

Fax

(573) 736-2771

NPI assigned

Apr 2, 2007

Last updated

Feb 17, 2010By 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

Mrs. Bobbie Jean Morris

Title

Administrator

Phone

(573) 736-5603

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Pulaski Country Group Home2 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.

• Pulaski Country Group Home

  • Respite Care
  • Crocker, MO
  • NPI 1790806545
  NPD tax ID

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1356462022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "CROCKER",
            "state": "MO",
            "postal_code": "654520662",
            "telephone_number": "573-736-5603",
            "fax_number": "573-736-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 KEETH ROAD",
            "city": "CROCKER",
            "state": "MO",
            "postal_code": "65452",
            "telephone_number": "573-736-5603",
            "fax_number": "573-736-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI COUNTY GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-736-5603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853890804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hello Transportation Services, Inc.
• Billy Joe Medlen
• Alaina Michelle Motsenbocker
• Delilah Pennington, FNP
• Pulaski Country Group Home
• Pulaski County Health Department (Lake Ozark Area Home Health & Hospice)
• Pulaski County Health Department (Pulaski County Home Health Agency)
• Richland Medical Center, Inc (Central Ozarks Medical Center)
• Richland Medical Center, Inc
• Hannah Zeigenbein

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Crocker, MO
• Providers in Crocker, 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 Feb 17, 2010; 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.