NPIMap

Organization Active NPI

Riverways Support Services

  • Adult Care Home Facility
  • West Plains, MO
National Provider Identifier
1639338759
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
294954102 Issued in MO
Legal business name
RIVERWAYS SUPPORT SERVICES
Practice address
114 E Main St
West Plains, MO 65775-3556
Phone
(417) 256-0191
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Carrie Lynn Womack
Title
Lead Office Assistant
Phone
(417) 256-0191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 294954102 MO Primary

Addresses

Primary practice location

114 E Main St
West Plains, MO 65775-3556

Mailing address

114 E Main St
West Plains, MO 65775-3556
Phone (417) 256-0191

Other identifiers 1

IdentifierTypeStateIssuer
294954102MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Omc Breast Care45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1639338759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753556",
            "telephone_number": "417-256-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753556",
            "telephone_number": "417-256-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWAYS SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LEAD OFFICE ASSISTANT",
        "authorized_official_telephone_number": "417-256-0191"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MO",
            "license": "294954102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294954102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.