Madison

LBN: Nova Center
Madison is an health care organization with primary practice located at 8401 Hickman Mills Dr , Kansas City MO 64132-2513. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Nova Center can be contacted via phone (816) 761-8614, or through Williams, Cary via phone (816) 761-8614.

Contact Information

Primary practice address
8401 Hickman Mills Dr Kansas City MO 64132-2513
Phone: (816) 761-8614
Fax: (816) 765-0622
Website:
Map and Directions
Authorized official contact:
Name: Williams, Cary
Phone: (816) 761-8614

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1174743785
LBN Legal business name Nova Center
DBA Doing business as Madison
Authorized official Williams, Cary
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated May 14th, 2014 - about 11 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 1174743785 NPPES
Missouri MEDICAID 856135405

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