Missouri Community Advancement Network

Primary specialty

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

Legal business name

MISSOURI COMMUNITY ADVANCEMENT NETWORK

Practice address

1043 E Terra LN
O Fallon, MO 63366-2750

Phone

(931) 434-3358

Fax

(636) 754-0643

NPI assigned

Feb 18, 2026

Last updated

Feb 18, 2026By 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

Raleigh Frye

Title

President

Phone

(931) 434-3358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1427901594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 E TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662750",
            "telephone_number": "931-434-3358",
            "fax_number": "636-754-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 E TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662750",
            "telephone_number": "931-434-3358",
            "fax_number": "636-754-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI COMMUNITY ADVANCEMENT NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "RALEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-434-3358"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in O'Fallon, MO
• Providers in O'Fallon, 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 Feb 18, 2026; 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.