Healthy Schools Missouri LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HEALTHY SCHOOLS MISSOURI LLC

Practice address

3675 S Noland Rd Ste 200
Independence, MO 64055-3369

Phone

(571) 289-1765

NPI assigned

Aug 28, 2018

Last updated

Aug 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Boselli

Title

President

Phone

(904) 379-5997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1821579798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S UNIT 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242714",
            "telephone_number": "904-379-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 S NOLAND RD STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553369",
            "telephone_number": "571-289-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SCHOOLS MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "BOSELLI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-379-5997"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthstat on-Site Clinic-City of Independence
• Healthstat- Independence School District
• Healthy Body Chiropractic, P.C.
• Healthy Perspectives LLC
• Healthy Perspectives LLC
• Healthy Smiles Mobile, LLC
• Healthy Smiles, LLC
• Heartland Medical Care PC
• Heartland Podiatry, P.C.
• James Kenneth Hecker

• General Practice Physician in Independence, MO
• Providers in Independence, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.