NORTHWEST MISSOURI SUPPORTIVE SERVICES


Address: 308 South Prospect, Stanberry, MO 64489-0222
Phone: 6607832464

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 308 SOUTH PROSPECT
City STANBERRY
State MO
Zip Code 64489-0222

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

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City STANBERRY
Zip Code 64489

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Dataset Information

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.

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