CHEREE L CORDERMAN (NPI# 1669030086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669030086 |
| Entity Type | Individual |
| Full Name | CHEREE L CORDERMAN |
| Practice Address |
1606 S 38th St Saint Joseph MO 64507-2216 |
| Mailing Address |
Po Box 8162 Saint Joseph MO 64508-8162 |
| Practice Telephone | 8163908941 |
| Practice Fax Number | 8162797728 |
| Mailing Telephone | 8163908941 |
| Mailing Fax Number | 8166171874 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1606 S 38TH ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950083 | Starcare, LLC | Community/Behavioral Health | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700927324 | Heartland Residential Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-02-08 |
| 1801910203 | Choices of St Joseph, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-19 |
| 1427172949 | Heartland Residential Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-19 |
| 1700900115 | Choices of St Joseph, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-19 |
| 1972627388 | Choices of St Joseph, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-19 |
| 1710001110 | Choices of St Joseph, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-19 |
| 1245364447 | Heartland Residential Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-16 |
| 1063546273 | Heartland Residential Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-16 |
| 1477687671 | Heartland Residential Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-03-16 |
| 1902947492 | Choices of St Joseph, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3024 Frederick Ave, Saint Joseph, MO 64506-2948 | 2007-02-09 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on CHEREE L CORDERMAN.
| 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.