Organization Active NPI

Red River Homes

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Butler, MO
National Provider Identifier
1679695324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
RED RIVER HOMES
Practice address
RR 2 Box 226
Butler, MO 64730-9515
Phone
(660) 200-2268
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jacquelin Racheal Davis
Title
Owner
Phone
(660) 200-2268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

RR 2 Box 226
Butler, MO 64730-9515

Mailing address

RR 2 Box 226
Butler, MO 64730-9515
Phone (660) 200-2268

National Provider Directory

National Provider Directory
Tax ID family
Red River Homes2 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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679695324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 226",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647309515",
            "telephone_number": "660-200-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 226",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647309515",
            "telephone_number": "660-200-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACQUELIN",
        "authorized_official_middle_name": "RACHEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-200-2268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

  • 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.