EFFIE SHURTZ GROUP HOME – NPI #1417433301
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

EFFIE SHURTZ GROUP HOME is a community based residential treatment facility located in EAST PRAIRIE, MO. NPPES has assigned the NPI number 1417433301 to EFFIE SHURTZ GROUP HOME on July 14, 2018. 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.

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 EFFIE SHURTZ GROUP HOME below.

NPI Profile for
EFFIE SHURTZ GROUP HOME

NPI Number
1417433301
Enumeration Date

(about 8 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
EFFIE SHURTZ GROUP HOME
Primary location
153 COUNTY RD 411
EAST PRAIRIE, MO 63845
Phone: (573) 683-0164 Fax: (573) 649-9411
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EFFIE SHURTZ
CO-OWNER
Phone: (573) 683-0164
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 EC-0762-0616

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.