NPIMap

Organization Active NPI

Ruth Jensen Village Residential Services, Inc. Isl II

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bowling Green, MO
National Provider Identifier
1972632883
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
License
1422-9250 Issued in MO
Legal business name
RUTH JENSEN VILLAGE RESIDENTIAL SERVICES, INC. ISL II
Practice address
5 Industrial Dr
Bowling Green, MO 63334-2436
Phone
(573) 324-3580
Fax
(573) 324-6323
NPI assigned
Mar 5, 2007
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
Marsha R Burt
Title
Business Manager
Phone
(573) 324-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1422-9250 MO Primary

Addresses

Primary practice location

5 Industrial Dr
Bowling Green, MO 63334-2436

Mailing address

5 Industrial Dr
Bowling Green, MO 63334-2436
Phone (573) 324-3580

National Provider Directory

National Provider Directory
Tax ID family
Ruth Jensen Village Residential Services Inc C Rodes Hood Group5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972632883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342436",
            "telephone_number": "573-324-3580",
            "fax_number": "573-324-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633342436",
            "telephone_number": "573-324-3580",
            "fax_number": "573-324-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH JENSEN VILLAGE RESIDENTIAL SERVICES, INC. ISL II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "573-324-3580"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1422-9250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, 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.