Active NPI
Bowers Group Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- East Prairie, MO
National Provider Identifier
1700097334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263721706 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Bowers Group Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- East Prairie, MO
- NPI 1902934649
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.