KIDWELL HOME (NPI# 1649453408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649453408 |
| Entity Type | Organization |
| Organization Name | KIDWELL HOME |
| Practice Address |
1000 Kidwell Drive Versailles MO 65084 |
| Mailing Address |
1101 W Clay Rd Versailles MO 65084-9314 |
| Practice Telephone | 5733785411 |
| Practice Fax Number | 5733785415 |
| Mailing Telephone | 5733785411 |
| Mailing Fax Number | 5733785415 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | MRS. SANDI LEONARD (ADMINISTRATOR) |
| Authorized Official Telephone | 5733785411 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SHEPHERD NURSING HOME DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 032825 | MO | Nursing & Custodial Care Facilities |
| Street Address |
1000 KIDWELL DRIVE |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1558480640 | Diana Moree Burdick | Nurse Practitioner | 102 North Fisher, Versailles, MO 65084 | 2007-03-28 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| 1447257571 | Susan Mary Burkhart | Family Medicine | 801 Kidwell Drive, St Mary's Clinic, Versailles, MO 65084 | 2005-07-05 |
| Find all providers in zip 65084 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820283 | Oak Meadows Rcf LLC | Assisted Living Facility | 5502 Misty Meadow Rd, Poplar Bluff, MO 63901-9287 | 2020-10-28 |
| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
| 1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
| 1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
| 1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
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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.