NEVADA HABILITATION CENTER
NPI 1114971702
General Practice in Nevada, MO

NPI Status: Active since May 19, 2006

Contact Information

2323 N ASH ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-7833
Fax: (417) 448-1138

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  • Organization
  • General Practice

About NEVADA HABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Nevada Habilitation Center, a primary care provider established in Nevada, Missouri operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1114971702 assigned on May 2006. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Nevada Habilitation Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Nevada Habilitation Center. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1114971702
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
NEVADA HABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2323 N ASH ST NEVADA, MO 64772
Location Phone
(417) 667-7833
Location Fax
(417) 448-1138
Mailing Address
1706 E ELM ST JEFFERSON CITY, MO 65101
Mailing Phone
(573) 751-3398
Mailing Fax
(417) 448-1138
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-19-2006
Last Update Date
08-26-2020
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A primary care provider (PCP) like Nevada Habilitation Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
501499917MEDICAID (05)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114971702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124187270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 7 + 2 + 7 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114971702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013940469 LEWIS SHILANE D.O.
Individual
Family Medicine2323 N ASH ST NEVADA HABILITATION CENTER
NEVADA, MO 64772
(417) 667-7833
1588713853DR. INN T PARK M.D.
Individual
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2323 N ASH ST
NEVADA, MO 64772
(417) 667-7833
1811137516STATE OF MISSOURI
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2323 N ASH ST
NEVADA, MO 64772
(417) 667-7833
1376614701STATE OF MISSOURI
Organization
Intermediate Care Facility, Intellectual Disabilities2323 N ASH ST
NEVADA, MO 64772
(417) 667-7833

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114971702, enumerated in the NPI registry as an "organization" on May 19, 2006

The provider is located at 2323 N Ash St Nevada, Mo 64772 and the phone number is (417) 667-7833

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.