CALLAWAY COUNTY SPECIAL SERVFICES (NPI# 1104958040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104958040 |
| Entity Type | Organization |
| Organization Name | CALLAWAY COUNTY SPECIAL SERVFICES |
| Other Organization Name | TIMBROOK HOUSE |
| Practice Address |
226 Maple St New Bloomfield MO 65063-1594 |
| Mailing Address |
911 S Business 54 Fulton MO 65251-1406 |
| Practice Telephone | 5734913858 |
| Mailing Telephone | 5736421792 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MR. CHARLES SNOW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5736421792 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALLAWAY COUNTY SPECIAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 853013803 | 05 |
| Other Name | Type Code |
|---|---|
| Timbrook House | Doing Business As Name - Organization |
| Street Address |
226 MAPLE ST |
| City | NEW BLOOMFIELD |
| State | MO |
| Zip Code | 65063-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841300357 | Kimberly Chitwood | Chiropractor | 10423 Old Hwy 54, Suite B, New Bloomfield, MO 65063 | 2006-08-30 |
| 1699005108 | Tamara Sue Thomas | Physical Therapist | 3176 Bradley Dr, New Bloomfield, MO 65063-1630 | 2010-01-05 |
| 1730167537 | Russell W Miller | Counselor | 2755 State Road Tt, New Bloomfield, MO 65063-1642 | 2006-01-03 |
| 1588108716 | Midwest First Assisting LLC | Registered Nurse | 9464 Erika Ln, New Bloomfield, MO 65063-1942 | 2016-12-07 |
| 1235406075 | Callaway County R-111 School | Local Education Agency (LEA) | 307 Redwood Dr, New Bloomfield, MO 65063-5417 | 2011-11-22 |
| 1366042442 | Lester E Cox Medical Centers | Nurse Practitioner | 307 Redwood Dr, New Bloomfield, MO 65063-5417 | 2020-10-28 |
| 1952678799 | Teresa A Campbell | Speech-Language Pathologist | 307 Redwood Dr, New Bloomfield, MO 65063-5417 | 2011-11-22 |
| 1497881460 | Rebecca Anna Vieth-albrecht | Counselor | 416 Redwood Dr, New Bloomfield, MO 65063-5418 | 2007-02-26 |
| 1477187201 | Doug Howard | Non-emergency Medical Transport (VAN) | 441 Joshua St, New Bloomfield, MO 65063-5461 | 2020-03-02 |
| 1659978419 | Tranzport LLC | Non-emergency Medical Transport (VAN) | 441 Joshua St, New Bloomfield, MO 65063-5461 | 2020-10-05 |
| Find all providers in zip 65063 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW BLOOMFIELD |
| Zip Code | 65063 |
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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.