Living With Purpose of Missouri, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LIVING WITH PURPOSE OF MISSOURI, INC.

Practice address

190 Spring Dr
Saint Charles, MO 63303-3255

Phone

(636) 389-6756

NPI assigned

Nov 4, 2015

Last updated

Mar 27, 2024By 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

Mr. Kermit Dale Harrah

Title

President/Executive Director

Phone

(636) 896-4545

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1518330299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W CLAY ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012573",
            "telephone_number": "636-896-4545",
            "fax_number": "636-896-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SPRING DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033255",
            "telephone_number": "636-389-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WITH PURPOSE OF MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2024-03-27",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HARRAH",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-896-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.