NPIMap

Organization Active NPI

Gentry County Association for Retarded Citizens, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Albany, MO
National Provider Identifier
1962536151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Practice address
403 N 16TH St
Albany, MO 64402-2126
Phone
(660) 726-4467
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ed D Moldenhauer, MS
Title
Executive Director
Phone
(660) 726-4155

Specialties & licenses 1

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

Addresses

Primary practice location

403 N 16TH St
Albany, MO 64402-2126

Mailing address

106 S Smith St
Albany, MO 64402-1624
Phone (660) 726-4155

Other names 1

  • Rolling Hills Creative Living, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Gentry County Association for Retarded Citizens Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962536151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S SMITH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021624",
            "telephone_number": "660-726-4155",
            "fax_number": "660-726-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 16TH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644022126",
            "telephone_number": "660-726-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLDENHAUER",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-726-4155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Hills Creative Living, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, MO

Sources for this page

  • 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.