BRACKEN HOMES – NPI #1265654628
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BRACKEN HOMES is a community based residential treatment facility located in BELTON, MO. NPPES has assigned the NPI number 1265654628 to BRACKEN HOMES on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 BRACKEN HOMES below.

NPI Profile for
BRACKEN HOMES

NPI Number
1265654628
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
BRACKEN HOMES
Primary location
8108 BEL RAY DR
BELTON, MO 64012
Phone: (816) 507-8997 Fax:
Mailing address
PO BOX 454
RAYMORE, MO 64012
Phone: (816) 507-8997 Fax:
Organization Subpart
No
Authorized Official
GAIL RUDOLPH
SUPRV QMRP
Phone: (816) 507-8997
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 MO 8000161

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.