The Jody House

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

THE JODY HOUSE

Practice address

603 N Walnut St
Rolla, MO 65401-3356

Phone

(573) 364-1589

NPI assigned

Feb 17, 2007

Last updated

Aug 22, 2020By 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

Mrs. Ruth Lee Ruck

Title

Administrator

Phone

(573) 578-2979

Specialties & licenses 1

Addresses

Tax ID family

Jody House LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jody House LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rolla, MO
  • NPI 1700901816
  NPD tax ID

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639213176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 6TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013368",
            "telephone_number": "573-578-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WALNUT ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013356",
            "telephone_number": "573-364-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JODY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUCK",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-578-2979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Taylor, PLPC
• Laura W. Taylor, PA
• Peggy Taylor, RN
• Janice Tejeda, LMSW
• The Curators of the University of Missouri
• The Jody House Isl Company LLC
• The Robert L. Kyle Center for Semi-Independent Living
• The Robert L. Kyle Center for Semi-Independent Living
• Theresa Heckman Occupational Therapist
• Erin Marie Thiltgen, ATC

• Contractor in Rolla, MO
• Providers in Rolla, MO by specialty
• Contractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.