NPIMap

Organization Active NPI

Miller County Board for Services for the Developmentally Disabled

Doing business as Miller County Targeted Case Management

  • Case Management Agency
  • Lake Ozark, MO
National Provider Identifier
1750415733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MILLER COUNTY BOARD FOR SERVICES FOR THE DEVELOPMENTALLY DISABLED
Doing business as
Miller County Targeted Case Management
Practice address
3771 Highway D
Lake Ozark, MO 65049-2290
Phone
(573) 348-3751
Fax
(573) 348-4065
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Karla Yeary Lent
Title
Director of Special Services
Phone
(573) 348-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3771 Highway D
Lake Ozark, MO 65049-2290

Mailing address

3771 Highway D
Lake Ozark, MO 65049-2290
Phone (573) 348-3751

Other identifiers 2

IdentifierTypeStateIssuer
1790819779MedicaidMO
1881728640MedicaidMO

Other names 1

  • Miller County Targeted Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miller County Board for Services for the Developmentally Disabled3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750415733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 HIGHWAY D",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650492290",
            "telephone_number": "573-348-3751",
            "fax_number": "573-348-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 HIGHWAY D",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650492290",
            "telephone_number": "573-348-3751",
            "fax_number": "573-348-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER COUNTY BOARD FOR SERVICES FOR THE DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENT",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "YEARY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "573-348-3751",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790819779",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881728640",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller County Targeted Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.