MISS BETTY ANN CAGLE (NPI# 1043467285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043467285 |
Entity Type | Individual |
Full Name | MISS BETTY ANN CAGLE |
Practice Address |
131 St. Thomas Lane New Madrid MO 63869 |
Practice Telephone | 5737489438 |
Mailing Telephone | 5737489438 |
Enumeration Date | 2008-08-19 |
Last Update Date | 2008-08-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2606 10125 | MO | Residential Treatment Facilities |
Street Address |
131 ST. THOMAS LANE |
City | NEW MADRID |
State | MO |
Zip Code | 63869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558924845 | Sierra Elaine Holiman | Nurse Practitioner | 800 Us Hwy 61, New Madrid, MO 63869 | 2019-04-22 |
1083143325 | Family Matters Home Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 985 Ramsey Lane, New Madrid, MO 63869 | 2017-06-09 |
1174849491 | Lorenzo Antonio Aquino Tolentino | Physical Therapist | 1050 Dawson Road, New Madrid, MO 63869 | 2010-04-12 |
1932372646 | Pemiscot County Memorial Hospital | Clinic/Center | 555 Virginia Ave, New Madrid, MO 63869 | 2008-04-03 |
1629138425 | Timothy P Rausch | Dentist | 645 Us Hwy 61, New Madrid, MO 63869 | 2006-12-11 |
1821628850 | Family Matters In Home LLC | In Home Supportive Care | 415 Main St, New Madrid, MO 63869 | 2020-01-17 |
1508314907 | Family Matters Cds LLC | Home Health | 413 Main Street, New Madrid, MO 63869 | 2016-09-14 |
1649657495 | Trusted Hands Direct LLC | In Home Supportive Care | 1 Courthouse Square, New Madrid, MO 63869 | 2015-04-30 |
1598161739 | Trusted Hands In Home Supportive Services | In Home Supportive Care | 1 Courthouse Square, New Madrid, MO 63869 | 2014-11-17 |
1518304369 | Southeast Missouri Health Network | Clinical Medical Laboratory | 421 Line Street, New Madrid, MO 63869 | 2013-06-03 |
Find all providers in zip 63869 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467575357 | Jackson's Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7570 Us Highway 61, New Madrid, MO 63869-9183 | 2007-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
Find all providers with the same taxonomy |
City | NEW MADRID |
Zip Code | 63869 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.