Timbrook House

LBN: Callaway County Special Servfices
Timbrook House is an health care organization with primary practice located at 226 Maple St , New Bloomfield MO 65063-1594. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Callaway County Special Servfices can be contacted via phone (573) 491-3858, or through Snow, Charles via phone (573) 642-1792.

Contact Information

Primary practice address
226 Maple St New Bloomfield MO 65063-1594
Phone: (573) 491-3858
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Snow, Charles
Phone: (573) 642-1792

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1104958040
LBN Legal business name Callaway County Special Servfices
DBA Doing business as Timbrook House
Authorized official Snow, Charles
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jun 12th, 2008 - about 17 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 1104958040 NPPES
Missouri MEDICAID 853013803

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