NPIMap

Organization Active NPI

Children's Therapy Center of Pettis County, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sedalia, MO
National Provider Identifier
1669596490
Registry record updated Feb 14, 2013
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
CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC
Practice address
29320 Highway U
Sedalia, MO 65301-1332
Phone
(660) 826-4400
Fax
(866) 495-6424
NPI assigned
Mar 19, 2007
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Ann Graff
Title
Executive Director
Phone
(660) 826-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

29320 Highway U
Sedalia, MO 65301-1332

Mailing address

1500 Ewing Dr
Sedalia, MO 65301-2396
Phone (660) 826-4400

Other identifiers 1

IdentifierTypeStateIssuer
851306431MedicaidMO

Other names 1

  • Center for Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Human Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1669596490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EWING DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012396",
            "telephone_number": "660-826-4400",
            "fax_number": "866-495-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29320 HIGHWAY U",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653011332",
            "telephone_number": "660-826-4400",
            "fax_number": "866-495-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-826-4400"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851306431",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.