Active NPI
Grand Falls Center for Recovery LLC
- Substance Abuse Rehabilitation Facility
- Joplin, MO
National Provider Identifier
1396460788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2277749 | Grand Falls Center for Recovery, LLC | Certificate of waiver | Mar 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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- Jeremy Cash Graddy, DPT
- Geoffrey Glen Graham, DO
- Grant T Kirk DDS LLC (Joplin Family Dental)
- David Glenn Grant, O.D.
- Delnorah Grant
- Rodney Grant, CRNA
- Thomas P Grant, DDS
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.