Life's Journey

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

Last updated

Aug 4, 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

Mrs. Roxanne Hall

Title

President

Phone

(816) 690-7305

Specialties & licenses 1

Addresses

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

{
    "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": []
}

• Ashley Lynn Keating, FNP-C
• Sarah Lynn Kostos, PT, DPT
• Kristina Kowalewski
• Ashley Marie Lawler, PT, DPT
• Adam Joseph Legg, D.O.
• Katherine Love, OT
• Joanne Marriott
• Sandra Jean Marron, RPH
• Victoria Martin
• Ronald L Marvin, D.C.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• 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.