Oakbrook Residence

LBN: Barefootboy Llc
Oakbrook Residence is an health care organization with primary practice located at 723 S Scenic Ave 723 S.Scenic, Springfield MO 65802-5042. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Barefootboy Llc can be contacted via phone (417) 864-6200, or through Echessa, Rajab Tongwa via phone (417) 207-1680.

Contact Information

Primary practice address
723 S Scenic Ave 723 S.Scenic Springfield MO 65802-5042
Phone: (417) 864-6200
Fax: (417) 864-4413
Website:
Map and Directions
Authorized official contact:
Name: Echessa, Rajab Tongwa ADMINISTRATOR
Phone: (417) 207-1680

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 035394 Missouri

Profile Details

NPI number 1790940989
LBN Legal business name Barefootboy Llc
DBA Doing business as Oakbrook Residence
Authorized official Echessa, Rajab Tongwa ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2008
Last updated Jul 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790940989 NPPES
Missouri MEDICAID 266758408

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