Active NPI
Riney-Walden Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hannibal, MO
National Provider Identifier
1609996313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- RINEY-WALDEN INC
- Practice address
- 56340 Janapas TRL
Hannibal, MO 63401-7673 - Phone
- (573) 221-3356
- Fax
- (573) 221-3356
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad W Walden
- Title
- Ceo
- Phone
- (573) 221-3356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO | Primary |
Addresses
Primary practice location
56340 Janapas TRL
Hannibal, MO 63401-7673
Mailing address
PO Box 1536
Hannibal, MO 63401-1536
Phone (573) 221-3356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856886007 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Riney-Walden Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hannibal, MO
- NPI 1679693899
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hannibal, MO
- NPI 1760502371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1609996313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1536",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634011536",
"telephone_number": "573-221-3356",
"fax_number": "573-221-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56340 JANAPAS TRL",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634017673",
"telephone_number": "573-221-3356",
"fax_number": "573-221-3356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RINEY-WALDEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "WALDEN",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-221-3356",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "856886007",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.