Organization Active NPI

Children's Haven of Southwest Missouri, Inc.

  • Foster Care Agency
  • Joplin, MO
National Provider Identifier
1659095289
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
CHILDREN'S HAVEN OF SOUTHWEST MISSOURI, INC.
Practice address
711 S Picher Ave
Joplin, MO 64801-3930
Phone
(417) 782-4453
Fax
(417) 782-1690
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Stephanie Anne Theis, LCSWNPI 1699807453
Title
Executive Director
Phone
(417) 782-4452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

711 S Picher Ave
Joplin, MO 64801-3930

Mailing address

711 S Picher Ave
Joplin, MO 64801-3930
Phone (417) 782-4453

National Provider Directory

National Provider Directory

Locations

711 S Picher Ave
Joplin, MO 64801
Phone (417) 782-4453

Practitioners & affiliated clinicians

Practitioners 1

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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1659095289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S PICHER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013930",
            "telephone_number": "417-782-4453",
            "fax_number": "417-782-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S PICHER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013930",
            "telephone_number": "417-782-4453",
            "fax_number": "417-782-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HAVEN OF SOUTHWEST MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-782-4452",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.