Spring Manor of Carroll County
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Carrollton, MO
NPI 1356470637 · NPPES record last updated Oct 6, 2015
Key facts
- NPI
- 1356470637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 852955517 (MO)
- Legal business name
- SPRING MANOR OF CARROLL COUNTY
- Practice address
- 212 Spring St
Carrollton, MO 64633-1682 - Phone
- (660) 542-1401
- Fax
- (660) 542-1688
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Ruth Ann Thurlo
- Title
- Executive Secretary
- Phone
- (660) 542-1401
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Spring Manor Apartments
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 852955517 | MO | Yes |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 852955517 | MO |
Addresses
Primary practice location
212 Spring St
Carrollton, MO 64633-1682
Mailing address
PO Box 455
Carrollton, MO 64633-0455
Phone (660) 542-1401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852955517 | Medicaid | MO |
Other names
- SPRING MANOR APARTMENTS
Other providers in Carrollton, MO
- Karmen Kay Scott
- Sloan Eyecare Center L.L.C
- Lucinda Marie Smith
- Richard Lee Smith
- Thomas Frederick Smith
- Spring Manor of Carroll County
- Lashawna Staton
- Debra Lorene Stedem
- Tara Lyrae Swan
- United Investors LP
All providers in Carrollton, MO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.