Mulberry Street Llc in Blue Springs - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mulberry Street Llc - NPI 1902099013
Mulberry Street Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Blue Springs, Missouri. Mulberry Street Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mulberry Street Llc is 1902099013. The last update date is 2013-01-07.
Mulberry Street Llc's current location address is 1519 Sw State Route 7, Blue Springs, Missouri. You can contact this provider via phone number 8162242000. The mailing address for Mulberry Street Llc is 1519 Sw State Route 7, Blue Springs, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mulberry Street Llc |
|---|---|
| Address | 1519 Sw State Route 7, Blue Springs, Missouri |
| Phone Number | 8162242000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mack Marie Diane |
| Telephone Number | 8162242000 |
NPI Number Detail
| NPI Number | 1902099013 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2013-01-07 |
Provider Mailing Address Detail
| Address | 1519 Sw State Route 7 |
|---|---|
| City | Blue Springs |
| State | Missouri (MO) |
| Post Code | 640143944 |
| Phone Number | 8162242000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
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Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique identification code assigned to Mulberry Street Llc by the Centers for Medicare & Medicaid Services?
The Mulberry Street Llc has been issued the NPI (National Provider Identifier) 1902099013. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mulberry Street Llc's physical address?
The Mulberry Street Llc is physically located at 1519 Sw State Route 7, in the city of Blue Springs, MO, with the postal code 640143944.
What is Mulberry Street Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mulberry Street Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did Mulberry Street Llc receive its 1902099013 assignment from the Centers for Medicare & Medicaid Services?
The Mulberry Street Llc was assigned its 1902099013 on 2007-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mulberry Street Llc most recently updated or refreshed?
The details pertaining to the Mulberry Street Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-07.