NORTHWEST MISSOURI LIVING CENTER


Address: 302 Maple St, Tarkio, MO 64491-1342
Phone: 6607365523

NORTHWEST MISSOURI LIVING CENTER (NPI# 1851438907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851438907
Entity Type Organization
Organization Name NORTHWEST MISSOURI LIVING CENTER
Other Organization Name NORTHWEST MO LEARNING CENTER
Practice Address 302 Maple St
Tarkio
MO 64491-1342
Mailing Address 302 Maple Street
Tarkio
MO 64491
Practice Telephone 6607365523
Practice Fax Number 6607364884
Mailing Telephone 6607365523
Mailing Fax Number 6607365506
Enumeration Date 2007-01-30
Last Update Date 2016-04-01
Authorized Official Name MRS. CRYSTAL ANN WOODRING (DIRECTOR)
Authorized Official Telephone 6607365523
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MW 01168 MO Residential Treatment Facilities
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 855331609 05

Other Provider/Organization Names

Other Name Type Code
Northwest MO Learning Center Former Legal Business Name - Organization

Office Location

Street Address 302 MAPLE ST
City TARKIO
State MO
Zip Code 64491-1342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891836466 Northwest Missouri Learning Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Maple St, Tarkio, MO 64491-1342 2007-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669597712 Atchison-holt Ambulance District Emergency Medical Technician, Paramedic 303 South 3rd Street, Tarkio, MO 64491 2007-03-20
1023206703 Lisa Diane England Occupational Therapy Assistant 402 Poplar St, Tarkio, MO 64491-1138 2007-10-09
1659901411 Glenn Robert Scott Jr. Counselor 311 Spruce St, Tarkio, MO 64491-1142 2020-01-21
1518912732 Five Star Quality Care Mo LLC Skilled Nursing Facility 300 Cedar St, Tarkio, MO 64491-1174 2006-05-24
1376176552 Tarkio Hco, LLC Skilled Nursing Facility 300 Cedar St, Tarkio, MO 64491-1174 2020-02-17
1023589173 Phebe Wright Physical Therapist 300 Cedar St, Tarkio, MO 64491-1174 2018-12-16
1407173321 Jill Denise Eberhardt Speech-Language Pathologist 300 Cedar St, Tarkio, MO 64491-1174 2010-05-02
1114253127 Tarkio Hco, LLC Skilled Nursing Facility 300 Cedar St, Tarkio, MO 64491-1174 2009-10-26
1174764419 Theresa Lynn Larson Speech-Language Pathologist 300 Cedar St, Tarkio, MO 64491-1174 2009-03-17
1245376524 Northwest Missouri Learning Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 412 N 7th St, Tarkio, MO 64491-1202 2007-01-30
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073650123 Northwest Missouri Learning Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 704 Elm St, Tarkio, MO 64491-1629 2007-01-30
1245376524 Northwest Missouri Learning Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 412 N 7th St, Tarkio, MO 64491-1202 2007-01-30
1891836466 Northwest Missouri Learning Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Maple St, Tarkio, MO 64491-1342 2007-02-08
1386781433 Northwest Missouri Learning Center, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 805 Pine St, Tarkio, MO 64491-1639 2007-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609475516 Brandi Janelle Hickman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 2020-10-21
1154935112 Overcomers Counseling Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17101 East 203rd St, Peculiar, MO 64078 2020-09-06
1386265965 Candace Palmer Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2405 Bowe Ln, Jefferson City, MO 65109-9116 2020-05-05
1902426596 Matt Ferguson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4480 Bradley Dr, Joplin, MO 64804-5503 2020-04-23
1689206211 Insight Industry LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 2020-02-11
1598306904 Hearo Technologies LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 2019-10-07
1437790219 Darin Roark Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 2019-10-03
1942851399 Wyatt's Dream Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 205 State Highway Aa, Sikeston, MO 63801-5303 2019-09-26
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1043870181 Rebuild Contracting LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 2019-06-20
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Competitor

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City TARKIO
Zip Code 64491

Improve Information

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Dataset Information

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.

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