Active NPI
His Meiner Miracles, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Columbia, MO
National Provider Identifier
1699516286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HIS MEINER MIRACLES, LLC
- Practice address
- 7770 E Mexico Gravel Rd
Columbia, MO 65202-8983 - Phone
- (573) 474-0333
- Fax
- (573) 474-0333
- NPI assigned
- Jun 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Meiners
- Title
- Owner/Director
- Phone
- (573) 289-8584
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
7770 E Mexico Gravel Rd
Columbia, MO 65202-8983
Mailing address
7770 E Mexico Gravel Rd
Columbia, MO 65202-8983
Phone (573) 474-0333
Other names 1
- His Meiner Miracles
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1699516286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7770 E MEXICO GRAVEL RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652028983",
"telephone_number": "573-474-0333",
"fax_number": "573-474-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7770 E MEXICO GRAVEL RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652028983",
"telephone_number": "573-474-0333",
"fax_number": "573-474-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIS MEINER MIRACLES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "MEINERS",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "573-289-8584",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "His Meiner Miracles",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.