KAREN J HOLLIS (NPI# 1528185295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528185295 |
| Entity Type | Individual |
| Full Name | KAREN J HOLLIS |
| Credential | RN |
| Practice Address |
Rr 1 Box 1454 Alton MO 65606-9730 |
| Practice Telephone | 4177787267 |
| Practice Fax Number | 4177787267 |
| Mailing Telephone | 4177787267 |
| Mailing Fax Number | 4177787267 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417450925 | Karen Haynes Hollis | Social Worker | 221 Stewarts Ferry Pike, Nashville, TN 37214-3325 | 2018-03-10 |
| 1649296435 | Karen Elizabeth Hollis | Dietitian, Registered | 219 S Washington St, Center for Diabetes and Endocrinology, Easton, MD 21601-2913 | 2006-07-14 |
| Street Address |
RR 1 BOX 1454 |
| City | ALTON |
| State | MO |
| Zip Code | 65606-9730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689201105 | Bryan Hathcock | Physical Therapy Assistant | 100 Medical Dr., Alton, MO 65606 | 2020-03-25 |
| 1366920068 | Benita Ann Casey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rt 73 Mail Box # 352210, Alton, MO 65606 | 2018-08-03 |
| 1942756465 | C & P Alton Ventures LLC | Pharmacy | 201 State Hwy 19, Alton, MO 65606 | 2016-08-26 |
| 1902253743 | Ready Transportation, Inc | Non-emergency Medical Transport (VAN) | 401 P Lane, Alton, MO 65606 | 2016-05-23 |
| 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 |
| Find all providers in zip 65606 | ||||
| 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 |
|---|---|---|---|---|
| 1366920068 | Benita Ann Casey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rt 73 Mail Box # 352210, Alton, MO 65606 | 2018-08-03 |
| 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 |
| 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 |
| Find all providers in ALTON | ||||
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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.