Jamaica Cottage II , Inc

Primary specialty

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

License

16239486 Issued in MO

Legal business name

JAMAICA COTTAGE II , INC

Practice address

31360 Aqua Vita Rd
Gravois Mills, MO 65037-4803

Phone

(573) 372-6122

Fax

(573) 372-6122

NPI assigned

Mar 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patricia F Scott

Title

President

Phone

(573) 372-5095

Specialties & licenses 1

Addresses

Tax ID family

Jamaica Cottage II Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jamaica Cottage Isl II

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gravois Mills, MO
  • NPI 1942323738
  NPD tax ID

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487785341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31360 AQUA VITA RD",
            "address_2": "JAMAICA COTTAGE II , INC",
            "city": "GRAVOIS MILLS",
            "state": "MO",
            "postal_code": "650374803",
            "telephone_number": "573-372-6122",
            "fax_number": "573-372-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31360 AQUA VITA RD",
            "city": "GRAVOIS MILLS",
            "state": "MO",
            "postal_code": "650374803",
            "telephone_number": "573-372-6122",
            "fax_number": "573-372-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA COTTAGE II , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-372-5095",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "16239486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Collins, ANP
• Dental Professionals of Missouri, Richard Straus, D.M.D., P.C.
• Kenneth L Derrington, M.D.
• Penny A Dunning- Newell, APRN FNP BC
• Mark A Handley, DDS
• Jamaica Cottage Isl II
• McKenna Pierce, MSN, APRN, FNP-C
• Freddie Ramos, DMD
• Richland Medical Center, Inc.
• Scott D Schnelle, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gravois Mills, MO
• Providers in Gravois Mills, 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 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.