Common Ground Farmstead LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Osborn, MO
NPI 1851650527 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1851650527
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- COMMON GROUND FARMSTEAD LLC
- Practice address
- 6151 NE 352ND St
Osborn, MO 64474-7301 - Phone
- (816) 284-9926
- NPI assigned
- May 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Jack Michael Hunter
- Title
- Owner
- Phone
- (816) 284-9926
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
6151 NE 352ND St
Osborn, MO 64474-7301
Mailing address
6151 NE 352ND St
Osborn, MO 64474-7301
Phone (816) 284-9926
Other providers in Osborn, MO
All providers in Osborn, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.