BENITA ANN CASEY


Address: Rt 73 Mail Box # 352210, Alton, MO 65606
Phone: 4172700018

BENITA ANN CASEY (NPI# 1366920068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366920068
Entity Type Individual
Full Name BENITA ANN CASEY
Practice Address Rt 73 Mail Box # 352210
Alton
MO 65606
Mailing Address Rt 73 Box 352210
Alton
MO 65606
Practice Telephone 4172700018
Mailing Telephone 4172700018
Enumeration Date 2018-08-03
Last Update Date 2018-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address RT 73 MAIL BOX # 352210
City ALTON
State MO
Zip Code 65606

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1689201105 Bryan Hathcock Physical Therapy Assistant 100 Medical Dr., Alton, MO 65606 2020-03-25
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1164770822 S & W Healthcare Pharmacy 603 N Hwy 160, Alton, MO 65606 2012-08-28
1396036661 Carol Colley Counselor Rural Route 72, Box 219001, Alton, MO 65606 2011-04-21
1740307636 T. J. Swift House, Inc. Respite Care # 10 Court Square, Alton, MO 65606 2007-03-23
1891739033 Shepherd's View, Inc. Clinic/Center 100 Shepherds Lane, Alton, MO 65606 2006-06-16
1992214407 Helen Kayleen King Nurse Practitioner 100 Medical Drive, Alton, MO 65606 2017-09-27
1205286937 Oregon County Developmental Resources Board Case Management 202 South Main Street, Alton, MO 65606 2016-06-14
1437567211 S&w Healthcare Durable Medical Equipment & Medical Supplies 603 N Hwy 160, Alton, MO 65606 2014-07-24
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417313172 Residential Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1824 Main St, Alton, IL 62002-4724 2016-01-12
1225494982 Residential Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4320 Thadway Dr, Alton, IL 62002-5743 2016-01-12
1871959536 Residential Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 325 Degenhardt St, Alton, IL 62002-6825 2016-01-12
1275801037 Residential Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1033 Oakwood Ave, Alton, IL 62002-5278 2011-12-08
1366739716 Residential Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2463 Henry St, Alton, IL 62002-4447 2011-07-06
1386939197 Visions of Hope Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Rr 1 Box 1650, Alton, MO 65606-9740 2011-06-09
1104047174 Residential Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4617 Wonderland Dr, Alton, IL 62002-7309 2007-05-01
1134348220 Residential Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 821 Washington Ave, Alton, IL 62002-2757 2007-04-25
1528185295 Karen J Hollis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Rr 1 Box 1454, Alton, MO 65606-9730 2007-03-26
1780701557 Southern Missouri Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Rr 2 Box 2610, Alton, MO 65606-9633 2007-03-25
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City ALTON
Zip Code 65606

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Dataset Information

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.

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