BOYS & GIRLS TOWN OF MISSOURI (NPI# 1699076695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699076695 |
| Entity Type | Organization |
| Organization Name | BOYS & GIRLS TOWN OF MISSOURI |
| Other Organization Name | GREAT CIRCLE |
| Practice Address |
4485 Westminster Pl Saint Louis MO 63108-1812 |
| Mailing Address |
330 N Gore Ave Webster Groves MO 63119-1600 |
| Practice Telephone | 3145357911 |
| Mailing Telephone | 3149682060 |
| Mailing Fax Number | 3149688308 |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2010-11-06 |
| Authorized Official Name | QUINCI HERHOLZ (CONTACT PERSON) |
| Authorized Official Telephone | 3149682060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 2003031164 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Great Circle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902067184 | Boys & Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2008-06-20 |
| 1295801678 | Boys & Girls Town of Missouri | Psychiatric Residential Treatment Facility | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-28 |
| 1720157803 | Boys & Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-06 |
| Street Address |
4485 WESTMINSTER PL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700853744 | Reginald A. Johnson | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2006-03-08 |
| 1003271024 | Stephanie Kippenberger | Social Worker | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2015-12-17 |
| 1124493952 | Lauren Michel Maddox | Marriage & Family Therapist | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2015-12-04 |
| 1336512433 | Susan Mclean | Social Worker | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2015-11-11 |
| 1740653161 | Cortney Dollens | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2015-11-06 |
| 1740548585 | Jeannette Christine Copeland | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2012-04-30 |
| 1679831549 | Mallory C Sample | Social Worker | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2012-04-30 |
| 1164701835 | Megan Marie White | Social Worker | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2011-08-11 |
| 1619273794 | Melissa Marie Brengle | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2011-02-07 |
| 1518260611 | Kaci Megan Goldinher | Counselor | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2010-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528308 | Step Up, LLC | Foster Care Agency | 101 Morgan Trails Ct, Warrenton, MO 63383-1425 | 2012-08-28 |
| 1174800932 | Midwest Foster Care and Adoption Association | Foster Care Agency | 3201 S Lees Summit Rd, Independence, MO 64055-1974 | 2011-11-08 |
| 1598216905 | Sent From Above, Inc. | Foster Care Agency | 320 Brookes Dr, Suite 227a, Hazelwood, MO 63042-2736 | 2016-10-20 |
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.