ATTENDING ANGELS HOME CARE LLC (NPI# 1366885105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366885105 |
| Entity Type | Organization |
| Organization Name | ATTENDING ANGELS HOME CARE LLC |
| Practice Address |
375 S Main St Saint Clair MO 63077-1510 |
| Practice Telephone | 6366299980 |
| Mailing Telephone | 6366299980 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | MR. MIKE MAHONEY (MANAGER) |
| Authorized Official Telephone | 3144589041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
375 S MAIN ST |
| City | SAINT CLAIR |
| State | MO |
| Zip Code | 63077-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609009018 | Attending Angels Home Care | Home Health | 375 S Main St, Saint Clair, MO 63077-1510 | 2009-09-01 |
| 1457797466 | Attending Angels Home Care | Health Maintenance Organization | 375 S Main St, Saint Clair, MO 63077-1510 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687845 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1435 N. Main St., St. Clair, MO 63077 | 2013-05-24 |
| 1225367337 | St Clair Allergy-asthma | Specialist | 1020 St. Clair Plaza, St. Clair, MO 63077 | 2009-12-18 |
| 1568614063 | Victorian Manor of St Clair | Assisted Living Facility | 160 Charles Dr, St Clair, MO 63077 | 2008-10-15 |
| 1962664052 | Anita Farris Altemeyer | Physical Therapist | 214 Hartman Place, St Clair, MO 63077 | 2008-06-30 |
| 1184845729 | James Leroy Bunge | Dentist | 525 E Springfield Rd, St. Clair, MO 63077 | 2007-05-01 |
| 1720113053 | John D Marcum | Allergy & Immunology | 1020 St Clair Plaza, St Clair, MO 63077 | 2007-02-23 |
| 1538227970 | St. Clair Ambulance District | Ambulance | 3 Paul Parks Dr, St. Clair, MO 63077 | 2006-12-05 |
| 1821162280 | Kiko Enterprises, LLC | Pharmacy | 920 H St Clair Plaza Dr, St Clair, MO 63077 | 2006-11-20 |
| 1235139221 | Kirk Edward Brockman | Family Medicine | 1001 Cardwell St, St. Clair, MO 63077 | 2005-07-30 |
| 1487869368 | Kamil Dostalik | Physical Therapist | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2007-05-13 |
| Find all providers in zip 63077 | ||||
| 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 |
|---|---|---|---|---|
| 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 | SAINT CLAIR |
| Zip Code | 63077 |
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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.