HEALTH CARE CONSULTANTS OF MID MISSOURI, INC. — NPI 1871658799 (Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness in FAYETTE, MO)

CMS-1500 Box 24J / 33a • NPI

1871658799

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3104A0625X

Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness

Box 32 Service Location & ZIP+4

420 COUNTY ROAD 112, FAYETTE, MO, 65248

Official NPPES Practice Location

Practice Phone & Referral Fax

(660) 248-3626

Fax: (660) 248-2166

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1871658799 (HEALTH CARE CONSULTANTS OF MID MISSOURI, INC.) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1871658799` (NPI-2 Organization / Facility)
Provider / Legal Name	HEALTH CARE CONSULTANTS OF MID MISSOURI, INC.
Plain-English Specialty	Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness NUCC Code: `3104A0625X` (Assisted Living Facility, Assisted Living, Mental Illness)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	420 COUNTY ROAD 112, FAYETTE, MO, 65248
Practice Telephone / Fax	Tel: (660) 248-3626 \| Fax: (660) 248-2166
Administrative Mailing Address	420 CTY. RD. 112, FAYETTE, MO, 65248
Enumeration & Last Sync	Enumerated: 2006-12-22 \| CMS Record Updated: 2020-08-22
Authorized Official	DARLA RUDROFF (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

420 COUNTY ROAD 112, FAYETTE, MO, 65248

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Plain-English Taxonomy & CMS Crosswalk (3104A0625X)

What Does Taxonomy Code 3104A0625X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3104A0625X translates to:
"Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Assisted Living Facility, Assisted Living, Mental Illness for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HEALTH CARE CONSULTANTS OF MID MISSOURI, INC.)

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

Common Therapeutic Classes:

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
`3104A0625X` — Assisted Living Facility, Assisted Living, Mental Illness Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness	State: MO \| License: `2516-9032` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HEALTH CARE CONSULTANTS OF MID MISSOURI, INC. (NPI #1871658799)