NPIMap

Organization Active NPI

Samuel and Jill Hieronymus

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sweet Springs, MO
National Provider Identifier
1497982417
Registry record updated Sep 16, 2015
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
SAMUEL AND JILL HIERONYMUS
Doing business as
Twin Oaks Independent Living
Practice address
1001 N Miller St
Sweet Springs, MO 65351-9786
Phone
(660) 335-0091
Fax
(660) 335-0092
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Ms. Jill Hieronymus, RN
Title
Owner
Phone
(660) 335-6500

Specialties & licenses 1

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

Addresses

Primary practice location

1001 N Miller St
Sweet Springs, MO 65351-9786

Mailing address

1001 N Miller St
Sweet Springs, MO 65351-9786
Phone (660) 335-0091

Other names 1

  • Twin Oaks Independent Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Samuel and Jill Hieronymus3 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

1001 N Miller St
Sweet Springs, MO 65351
Phone (660) 335-0091

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1497982417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MILLER ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653519786",
            "telephone_number": "660-335-0091",
            "fax_number": "660-335-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MILLER ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653519786",
            "telephone_number": "660-335-0091",
            "fax_number": "660-335-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL AND JILL HIERONYMUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "HIERONYMUS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-335-6500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Oaks Independent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweet Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.