Active NPI
Doulos Ministries, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Branson, MO
National Provider Identifier
1467780460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 000139979
- Legal business name
- DOULOS MINISTRIES, INC.
- Practice address
- 282 Doulos Rd
Branson, MO 65616-9469 - Phone
- (417) 334-2773
- Fax
- (417) 334-6173
- NPI assigned
- Dec 2, 2009
- 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
- Eric Staples, LPC
- Title
- Director
- Phone
- (417) 334-2773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 000139979 | MO | Primary |
Addresses
Primary practice location
282 Doulos Rd
Branson, MO 65616-9469
Mailing address
282 Doulos Rd
Branson, MO 65616-9469
Phone (417) 334-2773
Other names 1
- Shelterwood
National Provider Directory
National Provider Directory- Tax ID family
- Doulos Ministries Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Independence, MO
- NPI 1659762912
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Independence, MO
- NPI 1922337583
Locations
282 Doulos Rd
Branson, MO 65616
Phone (417) 334-2773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259712000000",
"number": "1467780460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 DOULOS RD",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169469",
"telephone_number": "417-334-2773",
"fax_number": "417-334-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 DOULOS RD",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169469",
"telephone_number": "417-334-2773",
"fax_number": "417-334-6173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOULOS MINISTRIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-02",
"last_updated": "2009-12-02",
"status": "A",
"authorized_official_last_name": "STAPLES",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "417-334-2773",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "MO",
"license": "000139979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelterwood",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.