NODAWAY COUNTY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. (NPI# 1275712747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275712747 |
| Entity Type | Organization |
| Organization Name | NODAWAY COUNTY SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. |
| Practice Address |
122 East Lieber Street Maryville MO 64468-0454 |
| Mailing Address |
Po Box 454 122 East Lieber Street Maryville MO 64468-0454 |
| Practice Telephone | 6605827113 |
| Practice Fax Number | 6605823493 |
| Mailing Telephone | 6605827113 |
| Mailing Fax Number | 6605823493 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MS. MARY ELISABETH CARRICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6605827113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5473-7088 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427101930 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1112 Fox Rd, Maryville, MO 64468-3353 | 2007-01-19 |
| 1316090822 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 N Ray Ave, Maryville, MO 64468-2059 | 2007-01-19 |
| 1225181738 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 432 W South Ave, Maryville, MO 64468-2641 | 2007-01-19 |
| 1518010024 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 410 S Prairie St, Maryville, MO 64468-2874 | 2007-01-19 |
| 1215080726 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 East Lieber Street, Maryville, MO 64468-0454 | 2007-01-19 |
| 1750561627 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 East Lieber Street, Maryville, MO 64468-0454 | 2007-11-08 |
| Street Address |
122 EAST LIEBER STREET |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-0454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215080726 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 East Lieber Street, Maryville, MO 64468-0454 | 2007-01-19 |
| 1750561627 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 East Lieber Street, Maryville, MO 64468-0454 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447464565 | Bethesda Lutheran Homes & Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2608 Aurora Ave, Maryville, MO 64468-3608 | 2007-05-09 |
| 1881748671 | Younger Group Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1220 E 2nd St, Maryville, MO 64468-1929 | 2007-01-22 |
| 1558414698 | Younger Group Home, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1208 E Halsey St, Maryville, MO 64468-3082 | 2007-01-20 |
| 1427101930 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1112 Fox Rd, Maryville, MO 64468-3353 | 2007-01-19 |
| 1316090822 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 N Ray Ave, Maryville, MO 64468-2059 | 2007-01-19 |
| 1225181738 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 432 W South Ave, Maryville, MO 64468-2641 | 2007-01-19 |
| 1518010024 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 410 S Prairie St, Maryville, MO 64468-2874 | 2007-01-19 |
| 1366595860 | Association of Group Homes for Nodaway County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 S Saunders St, Maryville, MO 64468-2852 | 2007-01-19 |
| 1275686776 | Association of Group Homes for Nodaway County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 749 W Torrance St, Maryville, MO 64468-2516 | 2007-01-19 |
| 1215080726 | Nodaway County Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 East Lieber Street, Maryville, MO 64468-0454 | 2007-01-19 |
| Find all providers in MARYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.