ASHLEY'S PLACE ADULT DAY CARE – NPI #1114276029
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
ASHLEY'S PLACE ADULT DAY CARE is a community based residential treatment facility located in SALEM, MO. NPPES has assigned the NPI number 1114276029 to ASHLEY'S PLACE ADULT DAY CARE on September 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASHLEY'S PLACE ADULT DAY CARE” is a dba name, the actual legal business name for this organization is COVENANT CARE SERVICES, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 14 years ago on Sep 10, 2012. 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 ASHLEY'S PLACE ADULT DAY CARE below.
NPI Profile for
COVENANT CARE SERVICES, LLC
(about 14 years ago)
SALEM, MO 65560-1547 Phone: (573) 783-6256 Fax: (573) 783-8148
FREDERICKTOWN, MO 63645-0110 Phone: (573) 783-6256 Fax: (573) 783-8148
OWNER
Phone: (573) 783-6256
Identifiers for ASHLEY'S PLACE ADULT DAY CARE
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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MO | 1487749537 | |
| MEDICAID | MO | 1871823955 | |
| MEDICAID | MO | 1326188996 | |
| MEDICAID | MO | 1770623266 | |
| MEDICAID | MO | 1245370808 |
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
MO | 1008 |
| 311ZA0620X - Custodial Care Facility / Adult Care Home |
MO | 1008 |
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.