GARDEN OF SUCCESS LLC (NPI# 1073760492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073760492 |
| Entity Type | Organization |
| Organization Name | GARDEN OF SUCCESS LLC |
| Other Organization Name | SUPPORT PROFESSIONALS |
| Practice Address |
18813 E 25th St S Independence MO 64057-2467 |
| Practice Telephone | 8163536500 |
| Practice Fax Number | 8163536502 |
| Mailing Telephone | 8163536500 |
| Mailing Fax Number | 8163536502 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | MRS. PATRICE WANETTA DUMAS (ADMINISTRATOR) |
| Authorized Official Telephone | 8163536500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Support Professionals | Doing Business As Name - Organization |
| Street Address |
18813 E 25TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992900492 | Patrice Wanetta Dumas | Counselor | 18813 E 25th St S, Independence, MO 64057-2467 | 2007-06-15 |
| 1164798047 | Affinity Adult Daycare | Clinic/Center | 18813 E 25th St S, Independence, MO 64057-2467 | 2012-03-26 |
| 1982878112 | Garden of Success Dba: Support Professionals | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18813 E 25th St S, Independence, MO 64057-2467 | 2008-04-18 |
| 1740486430 | Garden of Success | Case Management | 18813 E 25th St S, Independence, MO 64057-2467 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1376976696 | Caring Mentors | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3140 S Sheley Rd, Independence, MO 64052-2640 | 2013-08-11 |
| 1295967628 | Joshua Walter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2302 S Cedar Ave, Independence, MO 64052-1653 | 2009-08-18 |
| 1710135256 | Promising Heights, Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 842 N Aztec Dr, Independence, MO 64056-2153 | 2008-09-08 |
| 1548425127 | Harry S Truman Childrens Neurological Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2828 So. Englewood Terr., Independence, MO 64052 | 2008-07-23 |
| 1710150446 | Northlake Supports and Services Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27683 Ivy Springs Drive, Independence, LA 70443 | 2008-04-02 |
| 1093833253 | Care By Cassie, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4230 S Phelps Rd, Independence, MO 64055-5067 | 2007-03-27 |
| 1093833410 | Life At Its Best, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15104 E 46th St S, Independence, MO 64055-4906 | 2007-03-26 |
| 1376684563 | Community Access | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1814 N Whitney Rd, Independence, MO 64058-1574 | 2007-02-09 |
| 1295886224 | Harry S. Truman Childrens Neurological Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2517 S Hawthorne Ave, Independence, MO 64052-1461 | 2007-01-16 |
| 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 | INDEPENDENCE |
| Zip Code | 64057 |
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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.