Organization Active NPI

Doulos Ministries, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Branson, MO
National Provider Identifier
1467780460
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
000139979 Issued in MO
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

Updated by the provider on Dec 2, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doulos Ministries Inc3 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.

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.

Verify at the official NPI Registry.