HOME COURT ADVANTAGE INC. NPI 1053439190

NPI Information

NPI: 1053439190
Provider Name: HOME COURT ADVANTAGE, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1211 E BROADWAY ST
BOLIVAR, MO
ZIP 65613
Phone: (417) 777-6980
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HOME COURT ADVANTAGE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Bolivar, MO. The provider is 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. HOME COURT ADVANTAGE, INC. NPI is 1053439190. The provider is registered as an organization entity type.

The provider's business location address is:

1211 E BROADWAY ST
BOLIVAR, MO
ZIP 65613-952
Phone: (417) 777-6980
Fax: (417) 777-6981

The provider's authorized official is Robert Mccrimmon .
The authorized official title is Ceo and has the following contact phone number (417) 777-6980.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MISSOURI	Yes
2	323P00000X	Psychiatric Residential Treatment Facility	MISSOURI	X
3	323P00000X	Psychiatric Residential Treatment Facility	MISSOURI	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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