SAMUEL AND JILL HIERONYMUS (NPI# 1497982417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497982417 |
| Entity Type | Organization |
| Organization Name | SAMUEL AND JILL HIERONYMUS |
| Other Organization Name | TWIN OAKS INDEPENDENT LIVING |
| Practice Address |
1001 N Miller St Sweet Springs MO 65351-9786 |
| Practice Telephone | 6603350091 |
| Practice Fax Number | 6603350092 |
| Mailing Telephone | 6603350091 |
| Mailing Fax Number | 6603350092 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MS. JILL HIERONYMUS (OWNER) |
| Authorized Official Telephone | 6603356500 |
| Authorized Official Credential | RN |
| 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 |
| Other Name | Type Code |
|---|---|
| Twin Oaks Independent Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790138956 | Samuel and Jill Hieronymus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Tower Dr, Warsaw, MO 65355-3439 | 2016-07-22 |
| Street Address |
1001 N MILLER ST |
| City | SWEET SPRINGS |
| State | MO |
| Zip Code | 65351-9786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699175893 | Sarah Stamper | Licensed Vocational Nurse | 204 E Market, Warrensburg, MO 65351 | 2014-08-26 |
| 1699088278 | Debra Lorene Koch | Nurse Practitioner | 105 Hostpital Drive, Sweet Springs, MO 65351 | 2010-07-23 |
| 1740367747 | Sweet Springs Therapy Center Inc | Clinic/Center | 718 Bridge Street, Sweet Springs, MO 65351 | 2006-11-01 |
| 1518107044 | Cah Acquisition Company 6 LLC | Clinic/Center | 105 E Hospital Dr, Bldg B, Sweet Springs, MO 65351 | 2009-02-24 |
| 1184864779 | Cah Acquisition Company 6 LLC | Medicare Defined Swing Bed Unit | 105 Hospital Drive, Sweet Springs, MO 65351 | 2009-02-23 |
| 1902098825 | Elm Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 S Elm St, Sweet Springs, MO 65351-1201 | 2007-08-14 |
| 1528234879 | Rhonda Jill Hieronymus | Dietary Manager | 405 S Locust St, Sweet Springs, MO 65351-1308 | 2008-05-07 |
| 1457436743 | Sweet Springs Pharmacy Inc | Pharmacy | 401 S Locust St, Sweet Springs, MO 65351-1308 | 2006-10-26 |
| 1497300396 | Sweet Springs Pharmacy Inc | Pharmacy | 401 S Locust St, Sweet Springs, MO 65351-1308 | 2019-08-07 |
| 1619198827 | Ronald L Hinton | Dentist | 305 S Miller St, Sweet Springs, MO 65351-1345 | 2007-05-02 |
| Find all providers in zip 65351 | ||||
| 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 |
|---|---|---|---|---|
| 1902098825 | Elm Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 S Elm St, Sweet Springs, MO 65351-1201 | 2007-08-14 |
| 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 | SWEET SPRINGS |
| Zip Code | 65351 |
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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.