Maplewood Farm Group Home in Kirksville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Maplewood Farm Group Home - NPI 1790814176
Maplewood Farm Group Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kirksville, Missouri. Maplewood Farm Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Maplewood Farm Group Home is 1790814176. The last update date is 2008-06-14.
Maplewood Farm Group Home's current location address is 1503 E Northtown Rd, Kirksville, Missouri. You can contact this provider via phone number 6606659336 and fax number 6606659336. The mailing address for Maplewood Farm Group Home is 1503 E Northtown Rd, Kirksville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maplewood Farm Group Home |
|---|---|
| Address | 1503 E Northtown Rd, Kirksville, Missouri |
| Phone Number | 6606659336 |
| Fax Number | 6606659336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kosmiski Bruce |
| Telephone Number | 6606659336 |
NPI Number Detail
| NPI Number | 1790814176 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2008-06-14 |
Provider Mailing Address Detail
| Address | 1503 E Northtown Rd |
|---|---|
| City | Kirksville |
| State | Missouri (MO) |
| Post Code | 635012080 |
| Phone Number | 6606659336 |
| Fax Number | 6606659336 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 5622-8623 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 853677607 | MO | -- |
Post Comment/ Review Below
What is the Maplewood Farm Group Home's 1790814176?
The Maplewood Farm Group Home's NPI (National Provider Identifier) Number is 1790814176. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Maplewood Farm Group Home's physical address?
The Maplewood Farm Group Home is physically located at 1503 E Northtown Rd, in the city of Kirksville, MO, with the postal code 635012080.
What is Maplewood Farm Group Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maplewood Farm Group Home's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790814176 to Maplewood Farm Group Home?
The Centers for Medicare & Medicaid Services assigned the 1790814176 to Maplewood Farm Group Home on 2007-03-03.
As of what date were the details pertaining to Maplewood Farm Group Home last refreshed?
The information related to the Maplewood Farm Group Home, including its address, specialty, and other relevant details, was last updated on 2008-06-14.