ADAMS STREET PLACE, INC. (NPI# 1245378371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245378371 |
| Entity Type | Organization |
| Organization Name | ADAMS STREET PLACE, INC. |
| Practice Address |
1024 Adams St Jefferson City MO 65101-3408 |
| Practice Telephone | 5736351320 |
| Practice Fax Number | 5736343944 |
| Mailing Telephone | 5736351320 |
| Mailing Fax Number | 5736343944 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EARL E. CARLSON JR. (PRESIDENT) |
| Authorized Official Telephone | 5736351320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 033716 | MO | Nursing & Custodial Care Facilities |
| Street Address |
1024 ADAMS ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831510379 | Rebekah Ann Luetkemeyer | Speech-Language Pathologist | 1024 Adams St, Jefferson City, MO 65101-3408 | 2013-12-31 |
| 1053662213 | Sally Joann David | Physical Therapy Assistant | 1024 Adams St, Jefferson City, MO 65101-3408 | 2012-09-27 |
| 1982901609 | Eldercare of Mid-missouri X, Inc | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2011-02-15 |
| 1083863229 | Joselito C Lariosa | Physical Therapist | 1024 Adams St, Jefferson City, MO 65101-3408 | 2008-09-11 |
| 1649473125 | Velvet Ann Meers | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518177591 | Missouri Veterans Commission | Skilled Nursing Facility | 205 Jefferson St Fl 12, Jefferson City, MO 65101-2901 | 2007-05-22 |
| 1356556625 | Lutheran Senior Services | Skilled Nursing Facility | 1306 W Main St, Jefferson City, MO 65109-1356 | 2007-05-11 |
| 1851415905 | Oak Tree Villas, Inc | Skilled Nursing Facility | 3801 West Truman Blvd, Jefferson City, MO 65109 | 2007-03-16 |
| 1952476343 | Jefferson City Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1221 Southgate Ln, Jefferson City, MO 65109-2465 | 2006-11-21 |
| 1376574301 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-5212 | 2006-07-06 |
| 1730131897 | Otke-villa LLC | Skilled Nursing Facility | 1030 Edmonds St, Jefferson City, MO 65109-5213 | 2006-05-17 |
| 1932159308 | Ggnsc Jefferson City LLC | Skilled Nursing Facility | 3038 W Truman Blvd, Jefferson City, MO 65109-0525 | 2006-05-10 |
| 1205381373 | N & R of Jefferson City LLC | Skilled Nursing Facility | 3038 W Truman Blvd, Jefferson City, MO 65109-0525 | 2016-08-18 |
| 1093176950 | Jefferson City Operations, LLC | Skilled Nursing Facility | 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-5212 | 2016-03-18 |
| 1982901609 | Eldercare of Mid-missouri X, Inc | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2011-02-15 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
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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.