Effie Shurtz Group Home

Primary specialty

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

License

EC-0762-0616 Issued in MO

Legal business name

EFFIE SHURTZ GROUP HOME

Practice address

153 County Rd 411
East Prairie, MO 63845

Phone

(573) 683-0164

Fax

(573) 649-9411

NPI assigned

Jul 14, 2018

Last updated

Jul 14, 2018By 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

Effie P Shurtz

Title

Co-Owner

Phone

(573) 683-0164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531526400000",
    "number": "1417433301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 COUNTY RD 411",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "63845",
            "telephone_number": "573-683-0164",
            "fax_number": "573-649-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 COUNTY RD 411",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "63845",
            "telephone_number": "573-683-0164",
            "fax_number": "573-649-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFIE SHURTZ GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "EFFIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "573-683-0164"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "EC-0762-0616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyn G Davis
• Caitlin Davis, PHARM.D.
• Steven L. Douglas, M.D.
• Tammy Easley, PMHNP-BC
• East Prairie R-II School District
• Effie Shurtz Home
• Effie Shurtz Home
• Ferguson Medical Group
• Ferguson Medical Group Rural Health Center Inc
• Bethany Ferrell

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Prairie, MO
• Providers in East Prairie, 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 Jul 14, 2018; 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.