NICKLES PRIVATE PROBATION SERVICES LLC
NPI 1215779665
Clinic/Center - Recovery Care in Steelville, MO

Active since June 07, 2024
205 3RD ST, STEELVILLE, MO 65565(573) 712-5145(630) 305-9287 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nickles Private Probation Services Llc NPPES

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

NICKLES PRIVATE PROBATION SERVICES LLC (NPI 1215779665) is a healthcare organization registered as a recovery care in Steelville, Missouri and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Potosi and lists Kenneth Lee Nickles, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1215779665
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NameNICKLES PRIVATE PROBATION SERVICES LLC
Location Address205 3RD STSteelville, MO 65565-5054
Mailing AddressPo Box 1325Steelville, MO 65565-1325 · (573) 712-5145 · Fax (630) 604-9287
Fax(630) 305-9287
Organization SubpartNo
Authorized OfficialKenneth Lee NicklesSole Member · (573) 712-5145
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
NPI 1215779665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
205 3RD ST, Steelville, MO 65565

Secondary Practice Location 1

Location 1114 E High StPotosi, MO 63664-1907 · Phone (573) 712-5145 · Fax (630) 305-9287

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 Nickles Private Probation Services LLC's NPI number?

The NPI number for Nickles Private Probation Services LLC is 1215779665. It was assigned to this organization in the NPPES registry on June 7, 2024.

Where is Nickles Private Probation Services LLC located?

Nickles Private Probation Services LLC is located at 205 3rd St, Steelville, MO 65565. The listed phone number is (573) 712-5145.

What is Nickles Private Probation Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Nickles Private Probation Services LLC was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.