SPECIAL NEEDS SERVICES OF RAY COUNTY (NPI# 1265885792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265885792 |
| Entity Type | Organization |
| Organization Name | SPECIAL NEEDS SERVICES OF RAY COUNTY |
| Other Organization Name | BILLY GAINES AS FISCAL AGENT |
| Practice Address |
810 E Main Street Richmond MO 64085 |
| Practice Telephone | 8164705045 |
| Practice Fax Number | 8164708066 |
| Mailing Telephone | 8164705045 |
| Mailing Fax Number | 8164708066 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | MRS. SUZAN LORRAINE BREEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8164705045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Billy Gaines as Fiscal Agent | Former Legal Business Name - Organization |
| Street Address |
810 E MAIN STREET |
| City | RICHMOND |
| State | MO |
| Zip Code | 64085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855027 | Martin Lee Mccrary | Counselor | 108 Wn Main, Richmond, MO 64085 | 2019-01-22 |
| 1669849170 | Sandra Gayle Johnson | Speech-Language Pathologist | 749 Driskill Drive, Richmond, MO 64085 | 2015-09-01 |
| 1386059533 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 320 E Lexington St, Richmond, MO 64085 | 2014-06-26 |
| 1114357761 | Duffett Holdings LLC | Pharmacy | 508 Johnny Walker Lane, Suite B, Richmond, MO 64085 | 2013-11-18 |
| 1841319928 | Jeanne M De Motte | Emergency Medicine | 904 Wollard Blvd., Richmond, MO 64085 | 2007-03-28 |
| 1285785022 | Steven Wesley Fawks | Dentist | 205 Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1215088968 | Steven W Fawks Dds PC | Dentist | 205 S Spartan Dr, Richmond, MO 64085 | 2007-01-16 |
| 1891892980 | Ray County Health Department | Public Health or Welfare | 820 East Lexington Street, Richmond, MO 64085 | 2006-09-20 |
| 1275557878 | Jamie Sue Honeycutt | Family Medicine | 420 Wollard Blvd, Richmond, MO 64085 | 2006-07-27 |
| 1700852282 | Bls Inc | Family Medicine | 902 Wollard Blvd, Richmond, MO 64085 | 2006-02-24 |
| Find all providers in zip 64085 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961102 | Melanie Welzel | Case Manager/Care Coordinator | 500 Hull St Apt 314, Richmond, VA 23224-4348 | 2020-10-31 |
| 1205469814 | Raymon Ward | Case Manager/Care Coordinator | 3813 Old Post Rd, Richmond, VA 23234-2023 | 2020-02-21 |
| 1285277467 | Shamika Melton | Case Manager/Care Coordinator | 6316 Oak Middle Ct Apt 304, Richmond, VA 23231-4870 | 2019-10-21 |
| 1497305171 | Kenithia Evans | Case Manager/Care Coordinator | 6966 Chessgate Falls Ln, Richmond, TX 77469-1818 | 2019-09-16 |
| 1689226540 | Mercades Chevis | Case Manager/Care Coordinator | 19118 Cannon Hills Ln, Richmond, TX 77407-8608 | 2019-07-11 |
| 1609338268 | Nadine Deborah De La Torre | Case Manager/Care Coordinator | 244 S 47th St Apt B, Richmond, CA 94804-3498 | 2019-04-03 |
| 1861956708 | Marcy Williams | Case Manager/Care Coordinator | 312 Brook Rd, Richmond, VA 23220-4225 | 2019-01-24 |
| 1790278000 | Miranda Nicole Dobbs | Case Manager/Care Coordinator | 1081 Heathcliff Dr, Richmond, KY 40475-2659 | 2018-06-11 |
| 1477050433 | Maurie Dennis | Case Manager/Care Coordinator | 1600 Eagles Roost Ct, Richmond, VA 23223-1274 | 2018-04-06 |
| 1790284537 | Alicia Rashelle Harris | Case Manager/Care Coordinator | 151 W Commerce Rd Apt 322, Richmond, VA 23224-2374 | 2018-02-07 |
| Find all providers in RICHMOND | ||||
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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.