NPIMap

Organization Active NPI

The Arc of the Ozarks

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield, MO
National Provider Identifier
1508074790
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
THE ARC OF THE OZARKS
Practice address
3110 S Lakeside Ave
Springfield, MO 65804-4724
Phone
(417) 886-5782
Fax
(417) 877-1948
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Mr. Michael Powers
Title
President
Phone
(417) 864-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3110 S Lakeside Ave
Springfield, MO 65804-4724

Mailing address

1501 E Pythian St
Springfield, MO 65802-2139
Phone (417) 864-7887

Other identifiers 1

IdentifierTypeStateIssuer
852606904MedicaidMO

Other names 1

  • The Arc of the Ozarks - Lakeside House Other name

National Provider Directory

National Provider Directory
Tax ID family
The Arc of the Ozarks32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1508074790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E PYTHIAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022139",
            "telephone_number": "417-864-7887",
            "fax_number": "417-864-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 S LAKESIDE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044724",
            "telephone_number": "417-886-5782",
            "fax_number": "417-877-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF THE OZARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-864-7887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852606904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc of the Ozarks - Lakeside House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.