Normile Family Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

001528243 Issued in MO

Legal business name

NORMILE FAMILY CENTER

Practice address

1400 S Boundary St
Kirksville, MO 63501-1704

Phone

(660) 665-4224

Fax

(660) 665-2968

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Matthew D Holt

Title

Juvenile Services Administrator

Phone

(660) 665-4224

Specialties & licenses 1

Addresses

Other names 1

• County of Adair Other name

Locations

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1831424951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S BOUNDARY ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011704",
            "telephone_number": "660-665-4224",
            "fax_number": "660-665-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S BOUNDARY ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011704",
            "telephone_number": "660-665-4224",
            "fax_number": "660-665-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMILE FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "JUVENILE SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "660-665-4224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": "001528243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Adair",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shelli Lynn Nicoli, LPN
• Gabrielle M Nielsen
• Lauren M Nolke, PA-C
• Hilary Jeannette Noll, M.A., CF-SLP
• Kayla Noriega
• Northeast East Missouri Area Agency on Aging
• Northeast Missouri Area Agency on Aging
• Northeast Missouri Health Council Inc
• Northeast Missouri Health Council Inc
• Northeast Missouri Health Council Inc

• Emotionally Disturbed Childrens' Residential Treatment Facility in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.