Jamaica Cottage Isl II

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1623-8179 Issued in MO

Legal business name

JAMAICA COTTAGE ISL II

Practice address

31360 Aqua Vita Rd
Gravois Mills, MO 65037-4762

Phone

(573) 372-6122

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By 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

Ms. Patricia F Scott

Title

President

Phone

(573) 372-6122

Specialties & licenses 1

Addresses

Tax ID family

Jamaica Cottage II Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jamaica Cottage II , Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Gravois Mills, MO
  • NPI 1487785341
  NPD tax ID

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942323738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31360 AQUA VITA RD",
            "city": "GRAVOIS MILLS",
            "state": "MO",
            "postal_code": "650374762",
            "telephone_number": "573-372-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31360 AQUA VITA RD",
            "city": "GRAVOIS MILLS",
            "state": "MO",
            "postal_code": "650374762",
            "telephone_number": "573-372-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA COTTAGE ISL II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-372-6122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1623-8179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Missouri, Richard Straus, D.M.D., P.C. (Forum Dental - Laurie)
• Kenneth L Derrington, M.D.
• Penny A Dunning- Newell, APRN FNP BC
• Mark A Handley, DDS
• Jamaica Cottage II , Inc
• McKenna Pierce, MSN, APRN, FNP-C
• Freddie Ramos, DMD
• Richland Medical Center, Inc. (Central Ozarks Medical Center)
• Scott D Schnelle, LCSW
• Show-Me Medical Transportation LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gravois Mills, MO
• Providers in Gravois Mills, 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 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.