MILL CREEK SUPPORTIVE CARE LLC
NPI 1710699756
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thayer, MO

Q: What is Mill Creek Supportive Care LLC's NPI number?

The NPI number for Mill Creek Supportive Care LLC is 1710699756. It was assigned to this organization in the NPPES registry on December 21, 2022.

Q: What is Mill Creek Supportive Care LLC's specialty?

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

Active since December 21, 2022

220 MONROE ST, THAYER, MO 65791(417) 264-6161(417) 264-6162 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Dec 21, 2022 (2 updates tracked since 2022).

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About Mill Creek Supportive Care Llc NPPES

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

MILL CREEK SUPPORTIVE CARE LLC (NPI 1710699756) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Thayer, Missouri and active in the NPI registry since December 2022. The organization lists Kimberly Deniece O'neill, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710699756

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameMILL CREEK SUPPORTIVE CARE LLC

Location Address220 MONROE STThayer, MO 65791-1511

Mailing Address220 Monroe StThayer, MO 65791-1511 · (417) 264-6161 · Fax (417) 264-6162

Phone(417) 264-6161

Fax(417) 264-6162

Organization SubpartNo

Authorized OfficialKimberly Deniece O'neillExecutive Director · (417) 331-6990

Enumeration DateDecember 21, 2022

Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1710699756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

Also ListedRespite CareTaxonomy 385H00000X

220 MONROE ST, Thayer, MO 65791

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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 Mill Creek Supportive Care LLC's NPI number?

The NPI number for Mill Creek Supportive Care LLC is 1710699756. It was assigned to this organization in the NPPES registry on December 21, 2022.

Where is Mill Creek Supportive Care LLC located?

Mill Creek Supportive Care LLC is located at 220 Monroe St, Thayer, MO 65791. The listed phone number is (417) 264-6161.

What is Mill Creek Supportive Care LLC'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 Mill Creek Supportive Care LLC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.