MRS. OCTAVIA LOUISE MCQUITTY (NPI# 1538715248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538715248 |
| Entity Type | Individual |
| Full Name | MRS. OCTAVIA LOUISE MCQUITTY |
| Credential | OCTAVIA |
| Practice Address |
504 Rocheport St Fayette MO 65248-1290 |
| Practice Telephone | 6608880669 |
| Mailing Telephone | 6608880669 |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | NONE | Nursing Service Related Providers |
| Street Address |
504 ROCHEPORT ST |
| City | FAYETTE |
| State | MO |
| Zip Code | 65248-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871658799 | Health Care Consultants of Mid Missouri, Inc. | Assisted Living Facility | 420 County Road 112, Fayette, MO 65248 | 2006-12-22 |
| 1932643160 | Brandon Michael Wiler | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248 | 2016-12-07 |
| 1326075391 | Robert Neal Buffaloe | Family Medicine | 308 S Church St, Fayette, MO 65248 | 2006-06-27 |
| 1740376219 | Howard County Home Health and Hospice | Hospice Care, Community Based | 101 Furr St, Fayette, MO 65248-1069 | 2006-10-04 |
| 1861496531 | Howard County Home Health and Hospice | Home Health | 101 Furr Street, Fayette, MO 65248-1069 | 2005-06-09 |
| 1013342955 | Howard County Home Health and Hospice | In Home Supportive Care | 101 Furr St, Fayette, MO 65248-1069 | 2013-09-11 |
| 1346242484 | Howard County Commission | Public Health or Welfare | 600 W Morrison St, Ste 7, Fayette, MO 65248-1075 | 2005-06-01 |
| 1700125382 | Jessica Michelle Beasley | Counselor | 600 W Morrison St, Ste 18, Fayette, MO 65248-1075 | 2013-02-02 |
| 1376840090 | Nathan Reed Hepner | Counselor | 600 W Morrison St, Suite 18, Fayette, MO 65248-1075 | 2011-02-15 |
| 1477855336 | Solcollin Aliscia Heard | Counselor | 600 W Morrison St, Ste. 18, Fayette, MO 65248-1075 | 2010-11-29 |
| Find all providers in zip 65248 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626635 | Danielle Marie Thomas | Adult Companion | 3928 E 47th Ter, Kansas City, MO 64130-2423 | 2020-10-16 |
| 1841832334 | Markeisha L Logan | Adult Companion | 104 Jungermann Rd # F, Saint Peters, MO 63376-1608 | 2019-10-16 |
| 1831745413 | Ronnie H Williams | Adult Companion | 4263 W Page Blvd, Saint Louis, MO 63113-3139 | 2019-08-10 |
| 1497309595 | Brenda Lee Carpenter | Adult Companion | 18724 N Locust Grove Rd, Sturgeon, MO 65284-9129 | 2019-07-26 |
| 1457820557 | Alexis Gatson | Adult Companion | 3020 Nw 57th St, Kansas City, MO 64151-2986 | 2018-11-19 |
| 1043786494 | Jasmine J Joiner | Adult Companion | 12350 Centerbrook Dr, Black Jack, MO 63033-7314 | 2018-10-23 |
| 1285153445 | Kewana M Brown | Adult Companion | 5824 Maple Avenue, Saint Louis, MO 63112-6311 | 2017-09-19 |
| 1174991756 | Best Tlc Corporation | Adult Companion | 305 Timber Creek Dr, Jefferson City, MO 65109-6520 | 2015-09-13 |
| 1932580172 | Laquita Darden | Adult Companion | 3208 Rue Royale, 2, Saint Charles, MO 63301-8355 | 2015-06-13 |
| 1851700942 | Christina Lacey | Adult Companion | 2012 Oregon Ave Apt B, Saint Louis, MO 63104-2115 | 2014-08-04 |
| 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.