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COLE COUNTY RESIDENTIAL SERVICES INC
NPI 1750422176
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jefferson City, MO

Active since February 09, 2007
614 DELAWARE ST, JEFFERSON CITY, MO 65109(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 1750422176) 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 February 2007. The organization lists Melody Troesser, Accountant, as its authorized official.

NPPES Registry Identity

NPI1750422176
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOLE COUNTY RESIDENTIAL SERVICES INC
Location Address614 DELAWARE STJefferson City, MO 65109-1752
Mailing Address1908 Boggs Creek RdJefferson City, MO 65101-5580 · (573) 634-4555 · Fax (573) 634-4352
Phone(573) 634-4555
Fax(573) 634-4352
Organization SubpartNo
Authorized OfficialMelody TroesserAccountant · (573) 634-4555
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750422176 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
Definition

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

614 DELAWARE ST, Jefferson City, MO 65109
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1100536

Cole County Emergency Medical Services · Jefferson City, MO
Active · expires Jun 7, 2027
CLIA Number26D1100536
Laboratory TypeAmbulance
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorEric J. Hoy
Laboratory Phone(573) 680-1770
Laboratory LocationCole County Emergency Medical Services1736 Southridge Drive, Jefferson City, MO 65109
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is COLE COUNTY RESIDENTIAL SERVICES INC's NPI number?

The NPI number assigned to this healthcare provider is 1750422176, enumerated as an "organization" on February 09, 2007.

Where is the provider located?

The provider is located at 614 DELAWARE ST JEFFERSON CITY, MO 65109 and the phone number is (573) 634-4555.

What is the provider's specialty?

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