Healthcare Provider Details

I. General information

NPI: 1982749495
Provider Name (Legal Business Name): CAPITAL CITY AREA COUNCIL FOR SPECIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 STONEHILL RD
JEFFERSON CITY MO
65101
US

IV. Provider business mailing address

2211 STONEHILL RD
JEFFERSON CITY MO
65101-2110
US

V. Phone/Fax

Practice location:
  • Phone: 573-634-3070
  • Fax: 573-636-3247
Mailing address:
  • Phone: 573-634-3070
  • Fax: 573-636-3247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEANNE CASE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 573-634-3070