COLE COUNTY RESIDENTIAL SERVICES, INC.
NPI 1124225651
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jefferson City, MO

Active since June 28, 2007
713 WASHINGTON ST, JEFFERSON CITY, MO 65101(573) 634-4555(573) 634-4352 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cole County Residential Services, Inc. NPPES

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

COLE COUNTY RESIDENTIAL SERVICES, INC. (NPI 1124225651) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jefferson City, Missouri and active in the NPI registry since June 2007. The organization lists James Casey, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124225651
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOLE COUNTY RESIDENTIAL SERVICES, INC.
Location Address713 WASHINGTON STJefferson City, MO 65101-2925
Mailing Address1908 Boggs Creek RdJefferson City, MO 65101-5580 · (573) 634-4555 · Fax (573) 634-4352
Fax(573) 634-4352
Organization SubpartNo
Authorized OfficialJames CaseyExecutive Director · (573) 634-4555
Enumeration DateJune 28, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1124225651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

713 WASHINGTON ST, Jefferson City, MO 65101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124225651, enumerated as an "organization" on June 28, 2007.

The provider is located at 713 WASHINGTON ST JEFFERSON CITY, MO 65101 and the phone number is (573) 634-4555.

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