NORTHWEST MISSOURI SUPPORTIVE SERVICES (NPI# 1093844722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093844722 |
Entity Type | Organization |
Organization Name | NORTHWEST MISSOURI SUPPORTIVE SERVICES |
Practice Address |
308 South Prospect Stanberry MO 64489-0222 |
Mailing Address |
Po Box 222 401 South Stanberry Street Stanberry MO 64489-0222 |
Practice Telephone | 6607832464 |
Mailing Telephone | 6607832842 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARTIN DALE WEATHERD (EXECUTIVE MANAGER) |
Authorized Official Telephone | 8168271254 |
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 |
Street Address |
308 SOUTH PROSPECT |
City | STANBERRY |
State | MO |
Zip Code | 64489-0222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265563266 | Concerned Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3520 Us Hwy 169, Stanberry, MO 64489 | 2007-03-08 |
1467554352 | Tri-county Health Department | Clinic/Center | 302 N Park St, Stanberry, MO 64489 | 2006-09-02 |
1710031422 | Stanberry Independent Living | Homemaker | 1319 North Alanthus St., Stanberry, MO 64489-0160 | 2007-01-22 |
1568519262 | Stanberry R-ii School | Local Education Agency (LEA) | 610 N Park St, Stanberry, MO 64489-1051 | 2007-01-04 |
1306302146 | Northwest Health Services Inc | Clinic/Center | 610 N Park St, Stanberry, MO 64489-1051 | 2019-02-18 |
1417117672 | New Beginnings | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 720 N Willow St, Stanberry, MO 64489-1057 | 2008-06-11 |
1699215921 | Tammy Sparks | Nurse Practitioner | 126 W 3rd St, Stanberry, MO 64489-1112 | 2017-03-06 |
1659358356 | Family Health Pharmacy | Pharmacy | 102 W 1st St, Stanberry, MO 64489-1161 | 2005-12-23 |
1659376176 | Grand River Regional Ambulance District | Ambulance | 130 W 1st St, Stanberry, MO 64489-1161 | 2005-06-21 |
1205271913 | Family Health Pharmacy, Inc. | Pharmacy | 102 W 1st St, Suite 100, Stanberry, MO 64489-1161 | 2013-05-08 |
Find all providers in zip 64489 |
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 |
---|---|---|---|---|
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 |
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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.