NPIMap

Organization Active NPI

Maranatha Services of Ray County Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orrick, MO
National Provider Identifier
1467577890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MARANATHA SERVICES OF RAY COUNTY INC.
Practice address
11387 Pettis Rd
Orrick, MO 64077-8134
Phone
(816) 470-7295
Fax
(816) 470-7295
NPI assigned
Mar 21, 2007
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
Mr. Dean D. Spires
Title
Administrator
Phone
(816) 470-7295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MO Primary

Addresses

Primary practice location

11387 Pettis Rd
Orrick, MO 64077-8134

Mailing address

11387 Pettis Rd
Orrick, MO 64077-8134
Phone (816) 470-7295

Other names 1

  • MARANATHA SERVICES Other name

National Provider Directory

National Provider Directory
Tax ID family
Maranatha Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467577890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11387 PETTIS RD",
            "city": "ORRICK",
            "state": "MO",
            "postal_code": "640778134",
            "telephone_number": "816-470-7295",
            "fax_number": "816-470-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11387 PETTIS RD",
            "city": "ORRICK",
            "state": "MO",
            "postal_code": "640778134",
            "telephone_number": "816-470-7295",
            "fax_number": "816-470-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA SERVICES OF RAY COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPIRES",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-470-7295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARANATHA SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orrick, 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.