JODY HOUSE LLC – NPI #1700901816
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
JODY HOUSE LLC is a residential treatment facility located in ROLLA, MO. NPPES has assigned the NPI number 1700901816 to JODY HOUSE LLC on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is VISIONS ISL. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 18 years ago on Jul 29, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JODY HOUSE LLC below.
NPI Profile for
JODY HOUSE LLC
(more than 19 years ago)
2608 BROOK
ROLLA, MO 65401 Phone: (573) 578-2979 Fax: (572) 364-4778
ROLLA, MO 65401-3368 Phone: (573) 578-2979 Fax: (573) 364-4778
OWNER
Phone: (573) 578-2979
Identifiers for JODY HOUSE LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MO | 856095401 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
MO | 265068694 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.