Active NPI
Houser Community Support Services, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Columbia, MO
National Provider Identifier
1710010913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- HOUSER COMMUNITY SUPPORT SERVICES, LLC
- Practice address
- 2313 Primrose Dr
Columbia, MO 65202-1214 - Phone
- (573) 447-4440
- NPI assigned
- Mar 14, 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
- Mr. Norman Harold Houser, PSYCHOLOGIST
- Title
- Owner
- Phone
- (573) 442-1740
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
2313 Primrose Dr
Columbia, MO 65202-1214
Mailing address
2905 Lynnwood Dr
Columbia, MO 65203-2942
Phone (573) 442-1740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856096003 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Houser Community Support Services LLC
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 Community Based Residential Treatment Facility
- Columbia, MO
- NPI 1629284823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1710010913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 LYNNWOOD DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652032942",
"telephone_number": "573-442-1740",
"fax_number": "573-442-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 PRIMROSE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652021214",
"telephone_number": "573-447-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSER COMMUNITY SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "HOUSER",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-442-1740",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PSYCHOLOGIST"
},
"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": "856096003",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 24, 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.