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HIGHLANDS GROUP HOME
NPI 1760681415
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Independence, MO

Active since July 13, 2007
1501 N RIVER BLVD, INDEPENDENCE, MO 64050(816) 512-7515(816) 512-7517 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 20, 2020, Aug 26, 2019 (2 updates tracked since 2019).

About Highlands Group Home NPPES

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

HIGHLANDS GROUP HOME (NPI 1760681415) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Independence, Missouri and active in the NPI registry since July 2007. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1760681415
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSTATE OF MISSOURI
Location Address1501 N RIVER BLVDIndependence, MO 64050-1760
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Phone(816) 512-7515
Fax(816) 512-7517
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateJuly 13, 2007
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1760681415 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.
1501 N RIVER BLVD, Independence, MO 64050
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Other Names 1

Doing Business AsHighlands Group Home

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 State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1760681415. It was assigned to this organization in the NPPES registry on July 13, 2007. The provider is doing business as Highlands Group Home.

Where is State Of Missouri located?

State Of Missouri is located at 1501 N River Blvd, Independence, MO 64050. The listed phone number is (816) 512-7515.

What is State Of Missouri'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 State Of Missouri was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.