Organization Active NPI

Life'S Journey

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oak Grove, MO
National Provider Identifier
1891998217
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
00690240 Issued in MO
Legal business name
LIFE'S JOURNEY
Practice address
2904 S Outer Belt Rd
Oak Grove, MO 64075-8152
Phone
(816) 690-7305
Fax
(816) 625-3040
NPI assigned
Jun 6, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Roxanne Hall
Title
President
Phone
(816) 690-7305

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 00690240 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

2904 S Outer Belt Rd
Oak Grove, MO 64075-8152

Mailing address

2904 S Outer Belt Rd
Oak Grove, MO 64075-8152
Phone (816) 690-7305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2008.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1891998217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S OUTER BELT RD",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758152",
            "telephone_number": "816-690-7305",
            "fax_number": "816-625-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S OUTER BELT RD",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758152",
            "telephone_number": "816-690-7305",
            "fax_number": "816-625-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-690-7305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "00690240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.