OrganizationActive
At Home Residential Svs Inc.
NPI 1710198122 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Higginsville, MO
Provider details
- NPI number
- 1710198122
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Patricia Hayes, President(660) 584-3969
- License
- 856277314 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 856277314 (MO)
Residential Treatment Facilities
Practice location
214 E 13th St
Higginsville, MO 64037
Phone: (660) 584-3969
Fax: (660) 584-5512
Approximate (ZIP-level) locationGet directions
Mailing address
214 E 13th St
Higginsville, MO 64037
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.