JONES WILDWOOD CARE CENTER (NPI# 1316148026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316148026 |
| Entity Type | Organization |
| Organization Name | JONES WILDWOOD CARE CENTER |
| Practice Address |
12806 Highway 151 Madison MO 65263-3114 |
| Practice Telephone | 6602918636 |
| Practice Fax Number | 6602918631 |
| Mailing Telephone | 6602918636 |
| Mailing Fax Number | 6602918631 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRIS L JONES (ADMIN) |
| Authorized Official Telephone | 6602918636 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 032074 | MO | Nursing & Custodial Care Facilities |
| Street Address |
12806 HIGHWAY 151 |
| City | MADISON |
| State | MO |
| Zip Code | 65263-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013137363 | Sydne Darlene Kuhler | Speech-Language Pathologist | Madison C3 Public Schools, 309 S Thomas St, Madison, MO 65263-1037 | 2007-04-27 |
| 1609917335 | Madison C3 Public Schools | Physical Therapist | 309 S Thomas St, Madison, MO 65263-1037 | 2007-02-08 |
| 1831404391 | Kelly L Ott | Speech-Language Pathologist | 12466 Highway 24, Madison, MO 65263-2150 | 2010-08-09 |
| 1427110758 | Middle Grove C-1 School District | Local Education Agency (LEA) | 11476 Route M, Madison, MO 65263-2221 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043069 | Daniel Mccrary | Social Worker | 609 Quiet Creek Cir Nw, Madison, AL 35757-6354 | 2020-11-08 |
| 1356942254 | Christopher Adkins | Technician | 10 Avenue C Ste 109, Madison, WV 25130-1102 | 2020-11-06 |
| 1619578770 | Sunshine Holstein | Counselor | 467 Main St Fl 4, Madison, WV 25130-2200 | 2020-11-05 |
| 1093316952 | Jennifer Hume Cook | Registered Nurse | 64 Napa Valley Cir, Madison, MS 39110-8892 | 2020-11-05 |
| 1023619301 | Kaleigh Ellis | Technician | 301 Rucker St, Madison, WV 25130-1125 | 2020-11-04 |
| 1386245561 | Comfort Care 4 U, LLC | Home Health | 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 | 2020-11-04 |
| 1982205381 | David F. Erickson | Physical Therapy Assistant | 5609 Sandpiper Ln, Madison, WI 53716-4406 | 2020-11-03 |
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| Find all providers in MADISON | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427481480 | Madison College | Nursing Facility/Intermediate Care Facility | 1701 Wright St, Madison, WI 53704-2599 | 2013-08-14 |
| 1578516118 | Independent Nurse | Nursing Facility/Intermediate Care Facility | 609 Copernicus Way, Madison, WI 53718-3096 | 2006-05-17 |
| 1033178504 | Madison Manor Nursing Home LLC | Nursing Facility/Intermediate Care Facility | 3891 Sullivan Street, Madison, AL 35758 | 2006-03-22 |
| 1306033733 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1721 Bald Hill Loop, Madison, NC 27025-7624 | 2007-10-01 |
| 1164647459 | Emma Jean Huff | Nursing Facility/Intermediate Care Facility | 2620 Waunona Way, Madison, WI 53713-1525 | 2007-04-13 |
| 1154463412 | Broadfield Manor Inc. | Nursing Facility/Intermediate Care Facility | 7927 Middle Ridge Rd, Madison, OH 44057-3023 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
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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.