Organization Active NPI

Riney-Walden Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hannibal, MO
National Provider Identifier
1609996313
Registry record updated Jun 17, 2008
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
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

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
856886007MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Riney-Walden Inc3 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.

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.

Verify at the official NPI Registry.