Active NPI
At Home Residential SVS Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Higginsville, MO
National Provider Identifier
1710198122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 856277314
- Legal business name
- AT HOME RESIDENTIAL SVS INC.
- Practice address
- 214 E 13TH St
Higginsville, MO 64037 - Phone
- (660) 584-3969
- Fax
- (660) 584-5512
- NPI assigned
- May 25, 2007
- Last updated
- Jul 17, 2008
- 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
- Mrs. Patricia Ann Hayes
- Title
- President
- Phone
- (660) 584-3969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 856277314 | MO | Primary |
Addresses
Primary practice location
214 E 13TH St
Higginsville, MO 64037
Mailing address
214 E 13TH St
Higginsville, MO 64037
Phone (660) 584-3969
National Provider Directory
National Provider Directory- Tax ID family
- At Home Residential Services
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
- Higginsville, MO
- NPI 1962529073
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": "1216252800000",
"number": "1710198122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E 13TH ST",
"city": "HIGGINSVILLE",
"state": "MO",
"postal_code": "64037",
"telephone_number": "660-584-3969",
"fax_number": "660-584-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 13TH ST",
"city": "HIGGINSVILLE",
"state": "MO",
"postal_code": "64037",
"telephone_number": "660-584-3969",
"fax_number": "660-584-5512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME RESIDENTIAL SVS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "660-584-3969",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": "856277314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Higginsville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.