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NEVADA HABILITATION CENTER
NPI 1114971702
General Practice in Nevada, MO

Active since May 19, 2006
2323 N ASH ST, NEVADA, MO 64772(417) 667-7833(417) 448-1138 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2020, Aug 23, 2019 (2 updates tracked since 2019).

About Nevada Habilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEVADA HABILITATION CENTER (NPI 1114971702) is a healthcare organization registered as a general practice in Nevada, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1114971702
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTATE OF MISSOURI
Location Address2323 N ASH STNevada, MO 64772-1054
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Phone(417) 667-7833
Fax(417) 448-1138
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1114971702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2323 N ASH ST, Nevada, MO 64772
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Other Names 1

Doing Business AsNevada Habilitation Center

Other Identifiers 1

Medicaid501499917MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS SHILANE D.O.
Family Medicine
2323 N ASH ST, NEVADA HABILITATION CENTER
NEVADA, MO 64772
Vernon County (417) 667-7833
STATE OF MISSOURI
Intermediate Care Facility, Intellectual Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833
DR. INN T PARK M.D.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833
STATE OF MISSOURI
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1114971702. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Nevada Habilitation Center.

Where is State Of Missouri located?

State Of Missouri is located at 2323 N Ash St, Nevada, MO 64772. The listed phone number is (417) 667-7833.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.