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MAPLEWOOD FARM GROUP HOME
NPI 1790814176
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kirksville, MO

Active since March 03, 2007
1503 E NORTHTOWN RD, KIRKSVILLE, MO 63501(660) 665-9336(660) 665-9336 Get Directions Write a Review

NPPES record last updated: June 14, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Maplewood Farm Group Home NPPES

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

MAPLEWOOD FARM GROUP HOME (NPI 1790814176) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Kirksville, Missouri and active in the NPI registry since March 2007. The organization lists Bruce Kosmiski, Owner, as its authorized official.

NPPES Registry Identity

NPI1790814176
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMAPLEWOOD FARM GROUP HOME
Location Address1503 E NORTHTOWN RDKirksville, MO 63501-2080
Mailing Address1503 E Northtown RdKirksville, MO 63501-2080 · (660) 665-9336 · Fax (660) 665-9336
Phone(660) 665-9336
Fax(660) 665-9336
Organization SubpartNo
Authorized OfficialBruce KosmiskiOwner · (660) 665-9336
Enumeration DateMarch 3, 2007
Last NPPES UpdateJune 14, 2008
✔ NPI 1790814176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MO · 5622-8623
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1503 E NORTHTOWN RD, Kirksville, MO 63501
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Other Identifiers 1

Medicaid853677607MO

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 Maplewood Farm Group Home's NPI number?

The NPI number for Maplewood Farm Group Home is 1790814176. It was assigned to this organization in the NPPES registry on March 3, 2007.

Where is Maplewood Farm Group Home located?

Maplewood Farm Group Home is located at 1503 E Northtown Rd, Kirksville, MO 63501. The listed phone number is (660) 665-9336.

What is Maplewood Farm Group Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Maplewood Farm Group Home was last updated on June 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.