INTREPID U.S.A., INC (NPI# 1346581154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346581154 |
| Entity Type | Organization |
| Organization Name | INTREPID U.S.A., INC |
| Other Organization Name | INTREPID USA HOSPICE |
| Practice Address |
679 W Elm St Suite 2 Lebanon MO 65536-3585 |
| Mailing Address |
4055 Valley View Ln Fl 5 Dallas TX 75244-5074 |
| Practice Telephone | 4175320302 |
| Mailing Telephone | 2144420920 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | MR. WESLEY N PERRY (CEO) |
| Authorized Official Telephone | 2144453750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Intrepid USA Hospice | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INTREPID U.S.A., INC. | 3220 Keller Springs Road, Suite 108, Carrollton, TX 75006 |
| Street Address |
679 W ELM ST SUITE 2 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699714154 | Connie Welch | Speech-Language Pathologist | 679 W Elm St, #2, Lebanon, MO 65536-3585 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720513526 | Sisters and Brothers Keepers LLC | Hospice Care, Community Based | 2306 Nancy Lee Ave, Lebanon, PA 17042-4607 | 2017-04-29 |
| 1184978215 | F.c. of Missouri Inc | Hospice Care, Community Based | 679 W Elm St Ste 2, Lebanon, MO 65536-3587 | 2012-10-26 |
| 1144408279 | Mountain States Health Alliance | Hospice Care, Community Based | 75 S Flannagan Ave, Lebanon, VA 24266 | 2008-01-31 |
| 1154541431 | Quality Care Health Center Dba Digitar Management Services Inc. | Hospice Care, Community Based | 932 East Baddour Parkway, Lebanon, TN 37087 | 2007-04-27 |
| 1396827796 | Vna Home Health Services | Hospice Care, Community Based | 1503 Quentin Rd, Lebanon, PA 17042-7431 | 2006-10-19 |
| 1891890208 | Home Nursing Company, Inc. | Hospice Care, Community Based | 1770 East Main Street, Russell County Shopping Center, Lebanon, VA 24266 | 2006-09-13 |
| 1043759376 | Excel Hospice LLC | Hospice Care, Community Based | 1102 S Lebanon St, Lebanon, IN 46052-2717 | 2017-02-20 |
| 1548508062 | Otterbein Hospice LLC | Hospice Care, Community Based | 554 N State Route 741, Lebanon, OH 45036-8839 | 2013-01-17 |
| 1831156462 | Russell County Medical Center Inc | Hospice Care, Community Based | 116 Flanagan Ave, Suite C, Lebanon, VA 24266-4514 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558412 | Avimarie Vitality Home Care LLC | Hospice Care, Community Based | 262 Reasor Dr, Saint Louis, MO 63135-1129 | 2020-11-05 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTREPID U.S.A., 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.