NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

GRAND RIVER RESIDENTIAL SERVICES LLC

Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

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


Contact Information

GRAND RIVER RESIDENTIAL SERVICES LLC
28105 S BUFORD RD
HARRISONVILLE, MO64701-8325
 Phone: 816-507-6609
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

320900000X
Indicates primary specialty

NPI Profile for GRAND RIVER RESIDENTIAL SERVICES LLC

NPI Number 1578879920
LBN Legal business name GRAND RIVER RESIDENTIAL SERVICES LLC
Authorized official KRISTI QUICK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2010
Last updated 08/24/2010 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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