WEATHERBY & ASSOCIATES, LLC (NPI# 1073909511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073909511 |
| Entity Type | Organization |
| Organization Name | WEATHERBY & ASSOCIATES, LLC |
| Other Organization Name | WEATHERBY ASSET MANAGEMENT GROUP, LLC |
| Practice Address |
1323 N Washington St Mexico MO 65265-3352 |
| Practice Telephone | 5734706826 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | MR. JUSTIN RAY WEATHERBY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5737840819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Weatherby Asset Management Group, LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WEATHERBY & ASSOCIATES, LLC | 555 Mesa Dr, Ojai, CA 93023 |
| Street Address |
1323 N WASHINGTON ST |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642010 | Southview Health Care, LLC. | Community Based Residential Treatment Facility, Mental Illness | 951 Creamery Rd, West Plains, MO 65775-6052 | 2019-04-23 |
| 1902369663 | Anna Dodson Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4616 Hwy D, Farmington, MO 63640-7241 | 2019-04-10 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1467919233 | Ted-lea, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9444 Midland Blvd, Overland, MO 63114-3328 | 2019-02-27 |
| 1639633290 | Synergy Executive, LLC | Community Based Residential Treatment Facility, Mental Illness | 2608 Smyrna Rd, Ozark, MO 65721-7674 | 2019-01-29 |
| 1467958553 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 2614 Benton Blvd, Kansas City, MO 64127-4149 | 2018-04-05 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1689098188 | Venus Independent Living LLC | Community Based Residential Treatment Facility, Mental Illness | 301 S Coffey St, Vienna, MO 65582-8862 | 2014-02-05 |
| 1699108381 | Sunny Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 134 Gray St, Festus, MO 63028-1949 | 2013-08-16 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 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.