Healthcare Provider Details

I. General information

NPI: 1538136700
Provider Name (Legal Business Name): HEALTHCARE SERVICES OF THE OZARKS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 W SUNSET ST STE 104
SPRINGFIELD MO
65807-6041
US

IV. Provider business mailing address

PO BOX 10939
SPRINGFIELD MO
65808-0939
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-4663
  • Fax: 417-269-9281
Mailing address:
  • Phone: 417-269-4663
  • Fax: 417-269-9281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID RANEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 417-269-4663