Council of Churches of the Ozarks

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1063 Issued in MO

Legal business name

COUNCIL OF CHURCHES OF THE OZARKS

Doing business as

Daybreak Adult Day Care / Elder Care Transit Service

Practice address

1461 E Seminole St
Springfield, MO 65804-2431

Phone

(417) 881-0133

Fax

(417) 882-3793

NPI assigned

Mar 20, 2007

Last updated

Feb 14, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNCIL OF CHURCHES OF THE OZARKSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark William Struckhoff, REV

Title

Executive Director

Phone

(417) 862-3586

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Daybreak Adult Day Care / Elder Care Transit Service Doing business as

Tax ID family

Council of Churches of the Ozarks2 organizations share this tax ID, including this one

Part of

Council of Churches of the Ozarks

Other organizations with this tax ID 1

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

• Council of Churches of the Ozarks

  dba Daybreak Adult Day Care / Eldercare Transit Service

  • Adult Day Care Clinic/Center
  • Springfield, MO
  • NPI 1174862577
  NPD tax ID

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1962527689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3947",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658083947",
            "telephone_number": "417-862-3586",
            "fax_number": "417-862-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 E SEMINOLE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042431",
            "telephone_number": "417-881-0133",
            "fax_number": "417-882-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL OF CHURCHES OF THE OZARKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNCIL OF CHURCHES OF THE OZARKS",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "STRUCKHOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-862-3586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REV"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1063",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "ER019913016",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "MO",
            "license": "U182232013",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": "U182232013",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291869501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Adult Day Care / Elder Care Transit Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary A Couch, MS,LPC
• Angela K Coulter, LCSW
• James W Coulter, MD
• Terrence D Coulter, MD
• Council of Churches of the Ozarks (Daybreak Adult Day Care / Eldercare Transit Service)
• Counseling Associates of Springfield, Inc.
• Countryside Counseling LLC
• Kiley Counts, DPT
• Stephane Counts, FNP
• Daniel R Coupe, DPT

• Adult Day Care Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.