JEFFERSON MEMORIAL ASSOCIATION (NPI# 1437126208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437126208 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL ASSOCIATION |
| Other Organization Name | PRIVATE DUTY SERVICES |
| Practice Address |
5 Industrial Dr Festus MO 63028-4105 |
| Mailing Address |
Po Box 279 Festus MO 63028-0279 |
| Practice Telephone | 6369331548 |
| Practice Fax Number | 6369331579 |
| Mailing Telephone | 6369331548 |
| Mailing Fax Number | 6369331579 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DENNIS HALLEY (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6369331162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Private Duty Services | Doing Business As Name - Organization |
| Street Address |
5 INDUSTRIAL DR |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263585 | Mercy Hospital Jefferson | Hospice Care, Community Based | 5 Industrial Dr, Festus, MO 63028-4105 | 2005-05-23 |
| 1952708166 | Sarah Marie Buechting | Nurse Practitioner | 5 Industrial Dr, Festus, MO 63028-4105 | 2014-12-03 |
| 1396748588 | Mercy Hospital Jefferson | Home Health | 5 Industrial Dr, Festus, MO 63028-4105 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151651 | Jefferson Memorial Hospital | Home Health | 5 Industrial Dr., Festus, MO 63028 | 2007-02-14 |
| 1407996796 | Vna Homecare, Inc. | Home Health | 380 Festus Centre Dr, Festus, MO 63028-2460 | 2007-02-07 |
| 1396748588 | Mercy Hospital Jefferson | Home Health | 5 Industrial Dr, Festus, MO 63028-4105 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEFFERSON MEMORIAL ASSOCIATION.
| 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.