Healthcare Provider Details

I. General information

NPI: 1003935529
Provider Name (Legal Business Name): CHOICES FOR PEOPLE CENTER FOR CITIZENS WITH DISABILITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 HIGHWAY 72 EAST
ROLLA MO
65401-3995
US

IV. Provider business mailing address

1840 HIGHWAY 72 EAST
ROLLA MO
65401
US

V. Phone/Fax

Practice location:
  • Phone: 573-364-7444
  • Fax:
Mailing address:
  • Phone: 573-364-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number1493-9731
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number1493-9731
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number1493-9731
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier853446706
Identifier TypeMEDICAID
Identifier StateMO
Identifier Issuer

VIII. Authorized Official

Name: MATTHEW EVANS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 573-364-7444