HUMBLE HEARTS CARE SERVICE (NPI# 1679691117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679691117 |
| Entity Type | Organization |
| Organization Name | HUMBLE HEARTS CARE SERVICE |
| Practice Address |
652 State Rd M Conway MO 65632 |
| Practice Telephone | 4176643838 |
| Mailing Telephone | 4176643838 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LORI KAY GROSS (OWNER OPERATOR OF HUMBLE HEARTS CAR) |
| Authorized Official Telephone | 4176643838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | DEPT OF MENTAL HEALTH | EROM0638 | 01 |
| MO | DMH DEPT OF MENTAL HEALTH | 8001865 | 01 |
| Street Address |
652 STATE RD M |
| City | CONWAY |
| State | MO |
| Zip Code | 65632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144416330 | Conway Family Clinic, Inc. | Clinic/Center | 301 S. Newport, Conway, MO 65632 | 2007-09-20 |
| 1982680799 | Suzanne Thompson | Nurse Practitioner | 601 W. Jefferson St., Suite C, Conway, MO 65632 | 2005-12-22 |
| 1164408399 | Deanna M Twyman | Nurse Practitioner | 301 South Newport Avenue, Conway, MO 65632 | 2005-12-20 |
| 1013993898 | Conway Family Clinic, Inc. | Clinic/Center | 301 South Newport Avenue, Conway, MO 65632-0009 | 2005-12-22 |
| 1285063016 | Laclede County R-i School District | Local Education Agency (LEA) | 726 W Jefferson Ave, Conway, MO 65632-8206 | 2013-11-02 |
| 1194282376 | Lori Ann Hyde | Speech-Language Pathologist | 209 S Shiloh Ave, Conway, MO 65632-8238 | 2019-02-25 |
| 1952765695 | Mitzi Gerretsen | Nurse Practitioner | 301 S Newport Ave, Conway, MO 65632-8322 | 2016-04-08 |
| 1235759093 | Kendra Mcmillion | Nurse Practitioner | 301 S Newport Ave, Conway, MO 65632-8322 | 2020-04-22 |
| 1659517613 | John R Strobel | Specialist/Technologist, Other | 520 Starvey Creek Rd, Conway, MO 65632-8606 | 2008-12-22 |
| 1902042971 | John Strobel | Specialist/Technologist, Other | 520 Starvey Creek Rd, Conway, MO 65632-8606 | 2008-12-22 |
| Find all providers in zip 65632 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695628 | Hannah J Cleveland | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2020-10-05 |
| 1932720141 | Gabrielle Ashtyn Hern | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2020-04-28 |
| 1649828823 | Hannah Kate Howard | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2019-08-30 |
| 1457871899 | Deandre Deshawn Grider | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2017-06-27 |
| 1467988204 | Sydney Cummings | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2017-05-11 |
| 1730614389 | Ashlee Sharp | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2017-04-20 |
| 1447704028 | Brandon Shelley | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2016-08-11 |
| 1093269698 | Kathy Tullous | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2016-08-11 |
| 1114471828 | Alyndria Mooney | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2016-08-10 |
| 1851844369 | Ashley Williams | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2016-08-01 |
| Find all providers in CONWAY | ||||
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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.