Organization Active NPI

Nova Center Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Grandview, MO
National Provider Identifier
1720208333
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
NOVA CENTER INC.
Practice address
12604 South 3Rd Street
Grandview, MO 64030-1616
Phone
(816) 761-8614
Fax
(816) 765-0622
NPI assigned
Apr 26, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Cary Williams
Title
Ceo
Phone
(816) 761-8614

Specialties & licenses 1

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

Addresses

Primary practice location

12604 South 3Rd Street
Grandview, MO 64030-1616

Mailing address

12604 South 3Rd Street
Grandview, MO 64030-1616
Phone (816) 761-8614

Other names 1

  • 114th Other name

National Provider Directory

National Provider Directory
Tax ID family
Nova Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1720208333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12604 SOUTH 3RD STREET",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301616",
            "telephone_number": "816-761-8614",
            "fax_number": "816-765-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12604 SOUTH 3RD STREET",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301616",
            "telephone_number": "816-761-8614",
            "fax_number": "816-765-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-761-8614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "114th",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.