SKILLS UNLIMITED INC (NPI# 1326170408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326170408 |
| Entity Type | Organization |
| Organization Name | SKILLS UNLIMITED INC |
| Other Organization Name | SKILLS UNLIMITED-ELDO |
| Practice Address |
2410 S 601 Rd El Dorado Springs MO 64744-8245 |
| Mailing Address |
114 W Hunter St Nevada MO 64772-2327 |
| Practice Telephone | 4178765481 |
| Mailing Telephone | 4176676021 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-10-01 |
| Authorized Official Name | DOUG M NICKELSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4176676021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 1970-9161 | MO | Agencies |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1970-9161 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 853045540 | 05 |
| Other Name | Type Code |
|---|---|
| Skills Unlimited-Eldo | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336264340 | Skills Unlimited Inc | Day Training, Developmentally Disabled Services | 114 W Hunter St, Nevada, MO 64772-2327 | 2007-03-20 |
| 1427173434 | Skills Unlimited Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4215 Kentucky Ave, Joplin, MO 64804-4643 | 2007-03-20 |
| 1346365343 | Skills Unlimited Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2000 N Elm St, Nevada, MO 64772-1073 | 2007-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Skills Unlimited Inc. | 5000 Providence Rd., Charlotte, NC 28226 |
| Street Address |
2410 S 601 RD |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-8245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| 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 |
|---|---|---|---|---|
| 1164551701 | Alfreda Gonzalez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 W Hickory St, El Dorado Springs, MO 64744-1402 | 2007-03-02 |
| 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 | EL DORADO SPRINGS |
| Zip Code | 64744 |
Please comment or provide details below to improve the information on SKILLS UNLIMITED INC.
| 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.