BEACON OF HOPE HOSPICE OF MISSOURI, INC. (NPI# 1528468691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528468691 |
| Entity Type | Organization |
| Organization Name | BEACON OF HOPE HOSPICE OF MISSOURI, INC. |
| Practice Address |
1201c South Broadway Oak Grove MO 64075 |
| Practice Telephone | 8663454673 |
| Mailing Telephone | 8663454673 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | DR. WILLIAM MARCONI (CEO) |
| Authorized Official Telephone | 3148153428 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | MO | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEACON OF HOPE HOSPICE OF MISSOURI, INC. | 1201c South Broadway, Oak Grove, MO 64075-9140 |
| Street Address |
1201C SOUTH BROADWAY |
| City | OAK GROVE |
| State | MO |
| Zip Code | 64075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703863 | Samantha Jo Castlebury | Nurse Practitioner | 302 Se Salem, Oak Grove, MO 64075 | 2018-03-16 |
| 1629524574 | Brandon Notz | Registered Nurse | 509 Se Oak Ridge Dr., Unit A, Oak Grove, MO 64075 | 2016-08-31 |
| 1043580194 | Crossroads Behavioral Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1611 Deer Run Rd., Oak Grove, MO 64075 | 2012-01-06 |
| 1861559734 | Patricia Ann Bettels Rhodes | Dentist | 2016 S Broadway, Oak Grove, MO 64075 | 2007-01-02 |
| 1922104447 | Elaine K Akin | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1598873911 | Amber Troyer | Optometrist | 201 S Salem, Oak Grove, MO 64075 | 2006-08-26 |
| 1104916337 | Ogmc LLC | Clinic/Center | 1900 S Broadway, Oak Grove, MN 64075 | 2006-10-16 |
| 1649376161 | Joyce E Peterson | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1518949031 | John Thomas Haller | Chiropractor | 105 Sw 12th St, Oak Grove, MO 64075-0957 | 2005-11-18 |
| 1033611207 | Thomas John Zlatohlavek | Pharmacist | 400 S Broadway, Oak Grove, MO 64075-6140 | 2018-03-05 |
| Find all providers in zip 64075 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
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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.