The Tailor Institute, Inc.

Primary specialty

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

Legal business name

THE TAILOR INSTITUTE, INC.

Practice address

3095 Lexington Ave Ste 500
Cape Girardeau, MO 63701-2674

Phone

(573) 339-9552

Fax

(573) 837-1716

NPI assigned

Jan 8, 2009

Last updated

Dec 4, 2018By 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

Mrs. Carissa Anne Tracy, BA

Title

Executive Director

Phone

(573) 339-9552

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1689811945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 LEXINGTON AVE STE 500",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012674",
            "telephone_number": "573-339-9552",
            "fax_number": "573-837-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 LEXINGTON AVE STE 500",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012674",
            "telephone_number": "573-339-9552",
            "fax_number": "573-837-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TAILOR INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-339-9552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "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": []
}

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• Carol Thiele, M.S.
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• Kory P. Thoma, O.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cape Girardeau, MO
• Providers in Cape Girardeau, 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 Dec 4, 2018; 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.