Organization Active NPI

Cindy Christal

Doing business as Cleo

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbia, MO
National Provider Identifier
1407974389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
8000699 Issued in MO
Legal business name
CINDY CHRISTAL
Doing business as
Cleo
Practice address
3100 Mexico Gravel Rd
Columbia, MO 65202-2631
Phone
(573) 424-9275
Fax
(573) 474-3730
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cindy Kay Christal
Title
Director
Phone
(573) 424-9275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 8000699 MO Primary

Addresses

Primary practice location

3100 Mexico Gravel Rd
Columbia, MO 65202-2631

Mailing address

3100 Mexico Gravel Rd
Columbia, MO 65202-2631
Phone (573) 424-9275

Other names 1

  • CLEO Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407974389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MEXICO GRAVEL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022631",
            "telephone_number": "573-424-9275",
            "fax_number": "573-474-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MEXICO GRAVEL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652022631",
            "telephone_number": "573-424-9275",
            "fax_number": "573-474-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY CHRISTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTAL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-424-9275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "8000699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.