Rolling Hills Creative Living, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ROLLING HILLS CREATIVE LIVING, INC

Practice address

2404 Allen Ave
Bethany, MO 64424-1334

Phone

(660) 425-7025

NPI assigned

Mar 16, 2007

Last updated

Aug 11, 2008By 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

Mr. Ed D Moldenhauer, MS

Title

Executive Director

Phone

(660) 726-4155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gentry County Association for Retarded Citizens, Inc Former legal business name

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1831213925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S SMITH ST",
            "address_2": "P O BOX 2",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021624",
            "telephone_number": "660-726-4155",
            "fax_number": "660-726-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 ALLEN AVE",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644241334",
            "telephone_number": "660-425-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS CREATIVE LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "MOLDENHAUER",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-726-4155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859884900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentry County Association for Retarded Citizens, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hansa N Patel, M.D
• Natu B Patel, M.D
• Alisha Michelle Purdun
• Rev Noel T Adams Mem Ambulance District
• Daniel Raymond Richert, AU.D.
• Kenneth W Shewell, MD
• Emily Kaylene Shuck
• Patricia Slaughter, LMSW
• Solutions for Families, Inc.
• St Joseph Specialty Clinic PC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bethany, MO
• Providers in Bethany, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.