Organization Active NPI

Teresa K Parker

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbia, MO
National Provider Identifier
1720154941
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
7164529 Issued in MO
Legal business name
TERESA K PARKER
Practice address
2650 N Lakeland Dr
Columbia, MO 65202-6972
Phone
(573) 814-0823
Fax
(573) 814-2863
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Teresa Kay ParkerNPI 1265692891
Title
Owner
Phone
(573) 814-0823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 7164529 MO Primary

Addresses

Primary practice location

2650 N Lakeland Dr
Columbia, MO 65202-6972

Mailing address

2650 N Lakeland Dr
Columbia, MO 65202-6972
Phone (573) 814-0823

Other names 1

  • TLC Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720154941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N LAKELAND DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026972",
            "telephone_number": "573-814-0823",
            "fax_number": "573-814-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N LAKELAND DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026972",
            "telephone_number": "573-814-0823",
            "fax_number": "573-814-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA K PARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-814-0823",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "7164529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.