MEDICARE: NORTHVIEW DEVELOPMENTAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1124160031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHVIEW DEVELOPMENTAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	500 N MAIN ST
Second Line	:	SUITE 206
City	:	NEWTON
State	:	KS
Zip	:	67114-2211
Country	:	US
Telephone Number	:	316-283-7997
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N MAIN ST
Second Line	:	SUITE 206
City	:	NEWTON
State	:	KS
Zip	:	67114-2211
Country	:	US
Telephone Number	:	316-283-7997
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LINDA GOERING
Credential	:
Telephone Number	:	316-283-7997

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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