ALICE SUE CONRAD – NPI #1922128487
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.

ALICE SUE CONRAD is a residential treatment facility located in COLUMBIA, MO. NPPES has assigned the NPI number 1922128487 to ALICE SUE CONRAD on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Jun 13, 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 ALICE SUE CONRAD below.

NPI Profile for
ALICE SUE CONRAD

NPI Number
1922128487
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALICE SUE CONRAD
Primary location
1407 SAINT ANDREW ST
COLUMBIA, MO 65203-2327
Phone: (573) 875-6751 Fax: (573) 442-2086
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALICE CONRAD
OWNER
Phone: (573) 875-6751
Updated
Taxonomy Code(s)

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 8001661

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.