STAR TIME RIDERS, INC.
NPI 1104167139
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pleasant Hill, MO

Active since March 15, 2013
18315 S WILMOTH RD, PLEASANT HILL, MO 64080(816) 540-2346(816) 540-2346 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About STAR TIME RIDERS, INC.

This page provides the complete NPI Profile along with additional information for Star Time Riders, Inc., a provider established in Pleasant Hill, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1104167139 assigned on March 2013. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mary B. Adams (President)

NPI
1104167139 Verify this NPI
Provider Name
STAR TIME RIDERS, INC.
Entity Type
Organization
Location Address
18315 S WILMOTH RD PLEASANT HILL, MO 64080
Location Phone
(816) 540-2346
Location Fax
(816) 540-2346
Mailing Address
18315 S WILMOTH RD PLEASANT HILL, MO 64080
Mailing Phone
(816) 540-2346
Mailing Fax
(816) 540-2346
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2013
Last Update Date
03-15-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY B. ADAMS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(816) 540-2346

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104167139, enumerated as an "organization" on March 15, 2013.

The provider is located at 18315 S WILMOTH RD PLEASANT HILL, MO 64080 and the phone number is (816) 540-2346.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.