Organization Active NPI

Bowers Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • East Prairie, MO
National Provider Identifier
1700097334
Registry record updated Aug 7, 2008
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
BOWERS GROUP HOME
Practice address
104 Presson St
East Prairie, MO 63845-1428
Phone
(573) 649-5034
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Ms. Virginia Bowers
Title
Owner
Phone
(573) 649-5034

Specialties & licenses 1

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

Addresses

Primary practice location

104 Presson St
East Prairie, MO 63845-1428

Mailing address

104 Presson St
East Prairie, MO 63845-1428
Phone (573) 649-5034

Other identifiers 1

IdentifierTypeStateIssuer
263721706MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Bowers Group Home2 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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1700097334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PRESSON ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451428",
            "telephone_number": "573-649-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PRESSON ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451428",
            "telephone_number": "573-649-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWERS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-649-5034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263721706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.