TLC Sutter Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

TLC SUTTER HOME

Practice address

209 Logan St
Palmyra, MO 63461-1336

Phone

(573) 769-7380

NPI assigned

Jan 31, 2009

Last updated

Jan 31, 2009By 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

Mrs. Lisa Kristine SutterNPI 1780708784

Title

Administrater

Phone

(573) 769-2640

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Kristine Sutter

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Palmyra, MO
  • NPI 1780708784

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1233360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233360000000",
    "number": "1487892253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 HIGHWAY C",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634612902",
            "telephone_number": "573-769-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LOGAN ST",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634611336",
            "telephone_number": "573-769-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC SUTTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-31",
        "last_updated": "2009-01-31",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATER",
        "authorized_official_telephone_number": "573-769-2640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Codey Stephens, DC
• John Scott Stiffey, D.C.
• Lisa Kristine Sutter
• Amy Elizabeth Swaters
• Carrie Thomas
• Lesley Anne Turner, PT, DPT
• United Vitality Health

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Palmyra, MO
• Providers in Palmyra, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.