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GLENNA SMITH
NPI 1619091741
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newburg, MO

Active since March 16, 2007
24752 CLEMENTINE OUTER RD, NEWBURG, MO 65550(573) 762-3201 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenna Smith NPPES

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

GLENNA SMITH (NPI 1619091741) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Newburg, Missouri, licensed in Missouri (5972-9429) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1619091741
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameGLENNA SMITH
Location Address24752 CLEMENTINE OUTER RDNewburg, MO 65550-9048
Mailing AddressPo Box 347Newburg, MO 65550-0347 · (573) 762-3201
Phone(573) 762-3201
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1619091741 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 · 5972-9429
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
24752 CLEMENTINE OUTER RD, Newburg, MO 65550
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Other Identifiers 1

Medicaid854694106MO

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 Glenna Smith's NPI number?

The NPI number for Glenna Smith is 1619091741. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Glenna Smith located?

Glenna Smith practices at 24752 Clementine Outer Rd, Newburg, MO 65550. The listed phone number is (573) 762-3201.

What is Glenna Smith'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 Glenna Smith was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.