Ronald J Hicken in Smithton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Ronald J Hicken - NPI 1275679953
Ronald J Hicken is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Smithton, Missouri. Ronald J Hicken practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Ronald J Hicken is 1275679953. The last update date is 2008-06-25.
Ronald J Hicken's current location address is 32613 Van Dyke Rd, Smithton, Missouri. You can contact this provider via phone number 6608273032 and fax number 6608275621. The mailing address for Ronald J Hicken is 32613 Van Dyke Rd, Smithton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ronald J Hicken |
|---|---|
| Address | 32613 Van Dyke Rd, Smithton, Missouri |
| Phone Number | 6608273032 |
| Fax Number | 6608275621 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hicken Kay Belinda |
| Telephone Number | 6608273032 |
NPI Number Detail
| NPI Number | 1275679953 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 32613 Van Dyke Rd |
|---|---|
| City | Smithton |
| State | Missouri (MO) |
| Post Code | 653503630 |
| Phone Number | 6608273032 |
| Fax Number | 6608275621 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 1531-8325 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 853704906 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ronald J Hicken by the Centers for Medicare & Medicaid Services?
The Ronald J Hicken has been issued the NPI (National Provider Identifier) 1275679953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ronald J Hicken?
The Ronald J Hicken is physically situated at 32613 Van Dyke Rd, in the city of Smithton, state of MO, with the postal code 653503630.
What is the Ronald J Hicken's area of specialization and corresponding taxonomy classification?
The Ronald J Hicken's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date was the 1275679953 assigned to Ronald J Hicken?
The Ronald J Hicken was issued its 1275679953 on 2007-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ronald J Hicken most recently updated or revised?
The information pertaining to Ronald J Hicken, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-25.