1. Home
  2. Directory
  3. Missouri
  4. Nevada
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

DR. INN T PARK M.D.
NPI 1588713853
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nevada, MO

Active since January 09, 2007
2323 N ASH ST, NEVADA, MO 64772(417) 667-7833 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Inn T Park M.d. NPPES

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

DR. INN T PARK M.D. (NPI 1588713853) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Nevada, Missouri, licensed in Missouri (R2A60) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1588713853
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameDR. INN T PARKCredential: M.D.
Location Address2323 N ASH STNevada, MO 64772-1054
Mailing AddressRr 6 Box 85Nevada, MO 64772-9773 · (417) 667-3010
Phone(417) 667-7833
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588713853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MO · R2A60
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2323 N ASH ST, Nevada, MO 64772
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified3755352MO
Medicare UPINC52094MO

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
General Practice
2323 N ASH ST
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
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 Inn Park's NPI number?

The NPI number for Inn Park is 1588713853. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Inn Park located?

Inn Park practices at 2323 N Ash St, Nevada, MO 64772. The listed phone number is (417) 667-7833.

What is Inn Park's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Inn Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.