Organization Active NPI

Nevada Health Care Services, Inc.

  • Assisted Living Facility
  • Nevada, MO
National Provider Identifier
1730611583
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NEVADA HEALTH CARE SERVICES, INC.
Practice address
1495 E Ashland St
Nevada, MO 64772-4016
Phone
(417) 667-5000
Fax
(417) 667-5059
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Karen Ruth Clark
Title
President/Secretary
Phone
(417) 448-7152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1495 E Ashland St
Nevada, MO 64772-4016

Mailing address

1495 E Ashland St
PO Box 246
Nevada, MO 64772-4016
Phone (417) 667-5000

Other names 1

  • Joe Clark Residential Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1730611583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 E ASHLAND ST",
            "address_2": "PO BOX 246",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724016",
            "telephone_number": "417-667-5000",
            "fax_number": "417-667-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 E ASHLAND ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724016",
            "telephone_number": "417-667-5000",
            "fax_number": "417-667-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "417-448-7152"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe Clark Residential Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.