Kings Vista LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KINGS VISTA LLC

Practice address

628 E High St
Marshall, MO 65340-1294

Phone

(660) 886-2975

Fax

(660) 886-2975

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Robert T KingNPI 1053599308

Title

Administrator

Phone

(660) 886-2975

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert Thomas King

  • Community/Behavioral Health Agency
  • Marshall, MO
  • NPI 1053599308
  NPD (past) Authorized official

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1639347750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 E HIGH ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401294",
            "telephone_number": "660-886-2975",
            "fax_number": "660-886-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E HIGH ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401294",
            "telephone_number": "660-886-2975",
            "fax_number": "660-886-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-886-2975"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Cramer MD, LLC (Cramer Family Clinic)
• Jerry C. Kelly, DDS
• James H Kerns, MD
• David J Keuhn, M.D.
• Robert Thomas King
• Kathryn Kirby, MA, LPC, NCC
• Laura Kiser
• John W Kisthardt, LMSW
• Douglas P Koehn, M.D.
• Grace Elizabeth Kroeger, MS, CCC-SLP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marshall, MO
• Providers in Marshall, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.