Barefootboy Llc in Springfield - Residential Treatment Facility, Physical Disabilities
Barefootboy Llc - NPI 1790940989
Barefootboy Llc is a Residential Treatment Facility, Physical Disabilities in Springfield, Missouri. Barefootboy Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Barefootboy Llc is 1790940989. The last update date is 2008-07-28.
Barefootboy Llc's current location address is 723 S Scenic Ave, Springfield, Missouri. You can contact this provider via phone number 4178646200 and fax number 4178644413. The mailing address for Barefootboy Llc is 723 S Scenic Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Barefootboy Llc |
|---|---|
| Address | 723 S Scenic Ave, Springfield, Missouri |
| Phone Number | 4178646200 |
| Fax Number | 4178644413 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Echessa Tongwa Rajab |
| Credentials | ADMINISTRA |
| Telephone Number | 4172071680 |
NPI Number Detail
| NPI Number | 1790940989 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | 723 S Scenic Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658025042 |
| Phone Number | 4178646200 |
| Fax Number | 4178644413 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 35394 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 266758408 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Barefootboy Llc by the Centers for Medicare & Medicaid Services?
The Barefootboy Llc has been assigned the NPI (National Provider Identifier) 1790940989. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Barefootboy Llc is physically located?
The Barefootboy Llc is physically situated at the following address: 723 S Scenic Ave, Springfield, MO, 658025042.
What is Barefootboy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Barefootboy Llc's area of specialization is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790940989 to Barefootboy Llc?
The Barefootboy Llc received its 1790940989 assignment from the Centers for Medicare & Medicaid Services on 2008-07-28.
As of what date was the information pertaining to Barefootboy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Barefootboy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-28.