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At Home Residential Services Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Higginsville, MO

NPI 1962529073 · NPPES record last updated Jul 16, 2008

Key facts

NPI
1962529073
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
AT HOME RESIDENTIAL SERVICES INC
Practice address
214 E 13TH St
Higginsville, MO 64037
Phone
(660) 584-3969
Fax
(660) 584-5512
NPI assigned
Mar 23, 2007
Organization subpart
No

Authorized official

Name
Mrs. Patricia Ann Hayes
Title
Administrator
Phone
(660) 584-3969

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
At Home Residential Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

214 E 13TH St
Higginsville, MO 64037

Mailing address

214 E 13TH St
Higginsville, MO 64037
Phone (660) 584-3969

Other identifiers

IdentifierTypeStateIssuer
856277306MedicaidMO
856277314MedicaidMO

Other names

  • At Home Residential Services Former legal business name

Other providers in Higginsville, MO

All providers in Higginsville, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.