Ozark Supported Living LLC

Primary specialty

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

License

LC001447119 Issued in MO

Legal business name

OZARK SUPPORTED LIVING LLC

Practice address

6634 County Road 287B
Puxico, MO 63960-8510

Phone

(573) 222-3599

NPI assigned

Apr 7, 2016

Last updated

Apr 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Miller ReadNPI 1326428210

Title

Owner/Administrator

Phone

(573) 222-3599

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, and the practitioner matching its NPPES authorized official.

• Sharon Read

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Puxico, MO
  • NPI 1326428210

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1679937569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 COUNTY ROAD 287B",
            "city": "PUXICO",
            "state": "MO",
            "postal_code": "639608510",
            "telephone_number": "573-222-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 COUNTY ROAD 287B",
            "city": "PUXICO",
            "state": "MO",
            "postal_code": "639608510",
            "telephone_number": "573-222-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "573-222-3599"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "LC001447119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Limbaugh, FNP
• Chelsey Long, MA, CCC-SLP
• Mingo Residential Care of Puxico LLC
• Missouri Delta Medical Center (Puxico Primary Care)
• Missouri Delta Medical Center
• Angela L Patterson, M.D.
• Poplar Bluff Regional Medical Center LLC (Puxico Medical Clinic)
• Poplar Bluff Regional Medical Center, LLC (Puxico Medical Clinic)
• Puxico 1 Inc (Puxico Nursing & Rehabilitation Center)
• Puxico Pharmacy, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Puxico, MO
• Providers in Puxico, 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 Apr 7, 2016; 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.