SPRING RIVER CHRISTIAN VILLAGE, INC. (NPI# 1568480275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568480275 |
| Entity Type | Organization |
| Organization Name | SPRING RIVER CHRISTIAN VILLAGE, INC. |
| Practice Address |
201 S Northpark Ln Joplin MO 64801-8426 |
| Practice Telephone | 4176234313 |
| Practice Fax Number | 4176235478 |
| Mailing Telephone | 4176234313 |
| Mailing Fax Number | 4176235478 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | MRS. SUSAN MCGHEE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3145877903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 032600 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS PROVIDER NUMBER | 154310 | 01 |
| MO | 102515806 | 05 | |
| KS | BCBS PROVIDER NUMBER | 701881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891872974 | Spring River Christian Village, Inc. | Assisted Living Facility | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2006-11-01 |
| Street Address |
201 S NORTHPARK LN |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969055 | Sonja Stark | Occupational Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2019-02-25 |
| 1669937389 | Brian Dunn | Occupational Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2019-02-06 |
| 1164739835 | Mariacorazon Kilongkilong | Physical Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-09-01 |
| 1417263252 | Edward M. Ross | Physical Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-08-30 |
| 1053627075 | Teresa Christina Waggoner | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-08-27 |
| 1215243225 | Connie Suzzette Chambers | Physical Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-08-27 |
| 1780910182 | Kimberly Yost | Speech-Language Pathologist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2009-10-20 |
| 1265768667 | Virginia Holland | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2009-10-20 |
| 1639328057 | Vilma G Berga | Physical Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2008-09-09 |
| 1548417520 | Robyn Lynn Jennings | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033595517 | N & R of Joplin LLC | Skilled Nursing Facility | 2810 South Jackson Avenue, Joplin, MO 64804 | 2015-08-06 |
| 1902993728 | St Johns Regional Medical Center | Skilled Nursing Facility | 2931 Mcclelland Blvd, Joplin, MO 64804-1633 | 2006-10-05 |
| 1174555148 | Joplin 1 Inc | Skilled Nursing Facility | 3222 John Duffy Dr, Joplin, MO 64804-1569 | 2006-07-07 |
| 1023040029 | Joplin No 10 LLC | Skilled Nursing Facility | 3130 John Duffy Drive, Joplin, MO 64804-1569 | 2006-07-07 |
| 1629013206 | Nhc Healthcare-joplin LLC | Skilled Nursing Facility | 2700 E 34th St, Joplin, MO 64804-4310 | 2006-06-18 |
| 1538107917 | Seniortrust of Joplin, LLC | Skilled Nursing Facility | 2810 S Jackson Ave, Joplin, MO 64804-2524 | 2006-06-04 |
| 1861448383 | Northport Health Services of Missouri, LLC | Skilled Nursing Facility | 2218 W 32nd St, Joplin, MO 64804-3514 | 2006-05-26 |
| 1538602073 | Landmark Transitional Recovery Center of Joplin, LLC | Skilled Nursing Facility | 2040 W 32nd St, Joplin, MO 64804-3512 | 2016-12-01 |
| 1154638765 | William Eugene Ward Jr. | Skilled Nursing Facility | 2700 E 34th St, Joplin, MO 64804-4310 | 2010-09-02 |
| 1730293515 | Freeman-oak Hill Health System | Skilled Nursing Facility | 932 E 34th St, Joplin, MO 64804-3932 | 2006-08-18 |
| Find all providers in JOPLIN | ||||
Please comment or provide details below to improve the information on SPRING RIVER CHRISTIAN VILLAGE, INC..
| 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.