NPIMap

Organization Active NPI

Cole County Residential Services Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jefferson City, MO
National Provider Identifier
1750422176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COLE COUNTY RESIDENTIAL SERVICES INC
Practice address
614 Delaware St
Jefferson City, MO 65109-1752
Phone
(573) 634-4555
Fax
(573) 634-4352
NPI assigned
Feb 9, 2007
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
Melody Troesser
Title
Accountant
Phone
(573) 634-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

614 Delaware St
Jefferson City, MO 65109-1752

Mailing address

1908 Boggs Creek Rd
Jefferson City, MO 65101-5580
Phone (573) 634-4555

National Provider Directory

National Provider Directory
Tax ID family
Cole County Residential Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750422176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BOGGS CREEK RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015580",
            "telephone_number": "573-634-4555",
            "fax_number": "573-634-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DELAWARE ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091752",
            "telephone_number": "573-634-4555",
            "fax_number": "573-634-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE COUNTY RESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROESSER",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "573-634-4555"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, 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.