CMS-1500 Box 24J / 33a • NPI
1487778155
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
320900000X
Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Box 32 Service Location & ZIP+4
2312 ANNIE BAXTER AVE, JOPLIN, MO, 64804-0329
✓ 9-Digit EDI 837 ZIP+4 (64804-0329)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487778155 (JASPER COUNTY SHELTERED FACILITIES ASSOC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487778155 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | JASPER COUNTY SHELTERED FACILITIES ASSOC |
| Plain-English Specialty | Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities NUCC Code: 320900000X (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2312 ANNIE BAXTER AVE, JOPLIN, MO, 64804-0329 |
| Practice Telephone / Fax | Tel: (417) 624-4515 |
| Administrative Mailing Address | 706 BROADWAY, CARL JUNCTION, MO, 64801 |
| Enumeration & Last Sync | Enumerated: 2007-03-19 | CMS Record Updated: 2020-08-22 |
| Authorized Official | JHAN HURN (Executive Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in JOPLIN
🔒 Are you JASPER COUNTY SHELTERED FACILITIES ASSOC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (320900000X)
What Does Taxonomy Code 320900000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320900000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JASPER COUNTY SHELTERED FACILITIES ASSOC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
320900000X — Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesPlain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | State: MO | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.