GREEN MEADOWS (NPI# 1114057486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114057486 |
| Entity Type | Organization |
| Organization Name | GREEN MEADOWS |
| Practice Address |
5354 Route F Anderson MO 64831-8506 |
| Practice Telephone | 4178453276 |
| Practice Fax Number | 4178456227 |
| Mailing Telephone | 4178453276 |
| Mailing Fax Number | 4178456227 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHARON DAVIS (OWNER) |
| Authorized Official Telephone | 4178453276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13899575 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790980548 | Green Meadows | Assisted Living Facility | 301 N New Madrid St, Sikeston, MO 63801-1971 | 2007-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Green Meadows 24, LLC | 9328 E. Evans Pl, Denver, CO 80231 |
| Oregon Corporations, Companies and Business Names | GREEN MEADOWS AFH | 6375 Sw 124th Ave, Beaverton, OR 97008 |
| Indiana Business Entities | GREEN MEADOWS AG GROUP LLC | 7601 N 900 W, Etna Green, IN 46524 |
| System for Award Management (SAM) Entities | GREEN MEADOWS APARTMENTS | 101 S Reid St Ste 201, Sioux Falls, SD 57103-7062 |
| Vermont Business Registrations | GREEN MEADOWS APARTMENTS, LLC | 1205 North Ave, Burlington, VT 05408 |
| New York State Corporations | GREEN MEADOWS B&B LLC | 2 Executive Blvd., Ste. 300, Suffern, New York 10901 |
| New York State Corporations | GREEN MEADOWS BY MIKE FLECK INC. | P.o. Box 303, Stonybrook, Ny 11790 |
| Vermont Business Registrations | GREEN MEADOWS CATERING | 4 Sleepy Hollow Road, Essex Jct., VT 05452 |
| Vermont Business Registrations | GREEN MEADOWS CENTER LLC | 265 Dover Hill Road, Est Dover, VT 05341 |
| Iowa Business Entities | GREEN MEADOWS CENTER, L.L.C. | 115 Frederick Street, San Francisco, CA 94117 |
| Street Address |
5354 ROUTE F |
| City | ANDERSON |
| State | MO |
| Zip Code | 64831-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806492 | Ronna Layne Duncan | Occupational Therapist | 734 Industrial Dr, Anderson, MO 64831 | 2019-08-15 |
| 1578961652 | Heidsha L Peterson | Dental Hygienist | 927 N 71 Business Hwy, Anderson, MO 64831 | 2014-12-05 |
| 1851794796 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 224 E Hwy 76, Anderson, MO 64831 | 2014-10-07 |
| 1194141317 | Rebecca A Bender | Nurse Practitioner | 510 Park Street, Anderson, MO 64831 | 2014-03-12 |
| 1205161726 | Kimberly Ann George | Dental Assistant | 508 W. Hwy. 71, Anderson, MO 64831 | 2009-10-16 |
| 1720240500 | Camille Reynaud Hatcher | Dental Hygienist | 508 W 76 Highway, Anderson, MO 64831 | 2008-07-02 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| 1225142292 | Mustang Drug Inc | Pharmacy | 704 C South Hwy 59, Anderson, MO 64831 | 2006-08-18 |
| Find all providers in zip 64831 | ||||
| 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 |
|---|---|---|---|---|
| 1588698021 | Developmental Service Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1511 Jeffrey Dr, Anderson, IN 46011-1512 | 2006-07-10 |
| 1699705848 | Developmental Service Alternatives, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 Alhambra Dr, Anderson, IN 46012-4218 | 2006-07-04 |
| 1235169491 | Developmental Service Alternatives, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 912 N Parkway Dr, Anderson, IN 46013-3249 | 2006-07-04 |
| 1144250333 | Developmental Service Alternatives | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 314 W 13th St, Anderson, IN 46016-1633 | 2006-07-03 |
| 1437186715 | Developmental Service Alternatives, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2228 Van Buskirk Rd, Anderson, IN 46011-1043 | 2006-06-26 |
| 1831696665 | Cg-dsa, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 314 W 13th St, Anderson, IN 46016-1633 | 2018-04-09 |
| 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 | ||||
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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.