SSM HOME CARE PRIVATE DUTY (NPI# 1053440511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053440511 |
| Entity Type | Organization |
| Organization Name | SSM HOME CARE PRIVATE DUTY |
| Practice Address |
1912 S Main St Maryville MO 64468-2647 |
| Mailing Address |
10143 Paget Dr Saint Louis MO 63132-2915 |
| Practice Telephone | 6605627904 |
| Practice Fax Number | 6605627914 |
| Mailing Telephone | 3149892524 |
| Mailing Fax Number | 3149893901 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MR. MIKE TOPOLSKI (PRESIDENT) |
| Authorized Official Telephone | 3149892528 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTH BUSINESSES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | NA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306974233 | Ssm Home Care Private Duty | Home Health | 4385 Maryland Ave, Saint Louis, MO 63108-2703 | 2007-03-01 |
| 1326232752 | Ssm Home Care Private Duty | Home Health | 1912 S Main St, Maryville, MO 64468-2647 | 2007-08-29 |
| Street Address |
1912 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446431 | Ssm Health Businesses | Home Health | 1912 S Main St, Maryville, MO 64468-2647 | 2006-02-16 |
| 1326232752 | Ssm Home Care Private Duty | Home Health | 1912 S Main St, Maryville, MO 64468-2647 | 2007-08-29 |
| 1992770689 | Ssm Health Businesses | Hospice Care, Community Based | 1912 S Main St, Maryville, MO 64468-2647 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868963 | Heartland Regional Medical Center | Home Health | 2332 S Main St Ste A, Maryville, MO 64468-3622 | 2019-06-04 |
| 1780991190 | Advantage Nursing Services Inc | Home Health | 2709 N Center St, Maryville, IL 62062-5623 | 2010-09-07 |
| 1669446431 | Ssm Health Businesses | Home Health | 1912 S Main St, Maryville, MO 64468-2647 | 2006-02-16 |
| 1649266974 | Blount Memorial Hospital, Inc. | Home Health | 1095 E Lamar Alexander Pkwy, Maryville, TN 37804-5134 | 2005-09-22 |
| 1548585094 | Tennessee Therapy Solutions, Inc | Home Health | 333 E Harper Ave, Maryville, TN 37804-5724 | 2010-03-27 |
| 1326232752 | Ssm Home Care Private Duty | Home Health | 1912 S Main St, Maryville, MO 64468-2647 | 2007-08-29 |
| 1629056056 | Anderson Hospital | Home Health | 6800 State Route 162, Maryville, IL 62062 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.