NPIMap

Organization Active NPI

Hilda Fuwells Residential Care, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dexter, MO
National Provider Identifier
1861540510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
031747 Issued in MO
Legal business name
HILDA FUWELLS RESIDENTIAL CARE, LLC
Practice address
17382 State Highway 25
Dexter, MO 63841-9710
Phone
(573) 568-2056
Fax
(573) 568-2314
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Teresa A Allen
Title
Manager
Phone
(573) 568-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 031747 MO Primary

Addresses

Primary practice location

17382 State Highway 25
Dexter, MO 63841-9710

Mailing address

17382 State Highway 25
Dexter, MO 63841-9710
Phone (573) 568-2056

National Provider Directory

National Provider Directory
Tax ID family
Adaptive Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861540510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17382 STATE HIGHWAY 25",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638419710",
            "telephone_number": "573-568-2056",
            "fax_number": "573-568-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17382 STATE HIGHWAY 25",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638419710",
            "telephone_number": "573-568-2056",
            "fax_number": "573-568-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDA FUWELLS RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-568-2056"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "031747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, 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.