Organization Active NPI

Grand Falls Center for Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Joplin, MO
National Provider Identifier
1396460788
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRAND FALLS CENTER FOR RECOVERY LLC
Practice address
5615 W 32ND St
Joplin, MO 64804-8161
Phone
(314) 582-4205
NPI assigned
Oct 7, 2022
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Brian Thornsberry
Title
Chief Operations Officer
Phone
(502) 904-9217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5615 W 32ND St
Joplin, MO 64804-8161

Mailing address

5615 W 32ND St
Joplin, MO 64804-8161

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2277749Grand Falls Center for Recovery, LLC5615 W 32ND Street, Joplin, MO 64804Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Locations

5615 W 32nd St
Joplin, MO 64804
Phone (417) 262-6175

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1396460788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648048161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648048161",
            "telephone_number": "314-582-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND FALLS CENTER FOR RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "THORNSBERRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "502-904-9217"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.