ANGELS HOME DIRECT CARE (NPI# 1770754871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770754871 |
| Entity Type | Organization |
| Organization Name | ANGELS HOME DIRECT CARE |
| Practice Address |
1905 Arapahoe Ct Greenwood MO 64034-8636 |
| Practice Telephone | 8165370668 |
| Mailing Telephone | 8165370668 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | IGNATIUS GANG (DIRECTOR) |
| Authorized Official Telephone | 8165852272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | AGENCY | 25 | 01 |
| Street Address |
1905 ARAPAHOE CT |
| City | GREENWOOD |
| State | MO |
| Zip Code | 64034-8636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528313947 | Wilfred Wallang Ebua | Psychologist | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2012-07-23 |
| 1356627160 | Clarisse Ekei Ebua | Physical Therapy Assistant | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740744515 | Danielle Renee Allison | Student in an Organized Health Care Education/Training Program | 1014 Peggy Dr., Greenwood, MO 64034 | 2019-01-25 |
| 1306312723 | Jillian Moore | Dietitian, Registered | 25617 S Harris Rd, Greenwood, MO 64034-8247 | 2018-10-24 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| 1821605643 | Melissa Janea Nyquist | Counselor | 1405 Cypress Dr, Greenwood, MO 64034-8626 | 2020-09-25 |
| 1770769556 | Lindsey Ky Mathews-willbanks | Audiologist | 30311 E Stringtown Rd, Greenwood, MO 64034-8699 | 2008-01-11 |
| 1174783328 | Gina Clouse | Speech-Language Pathologist | 1603 Kimberly Ct, Greenwood, MO 64034-8700 | 2008-06-11 |
| 1497219398 | Kelly Godbey | Student in an Organized Health Care Education/Training Program | 1303 Willow Dr, Greenwood, MO 64034-9110 | 2019-01-24 |
| 1811398670 | Lori Oster | Social Worker | 107 Cayuga Ln, Lake Winnebago, MO 64034-9303 | 2014-09-11 |
| 1063642700 | Shelly D Keller | Social Worker | 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 | 2009-07-15 |
| 1104214295 | Jessica Fitzgerald | Speech-Language Pathologist | 294 N Winnebago Dr, Lake Winnebago, MO 64034-9319 | 2014-12-26 |
| Find all providers in zip 64034 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275745184 | Goodwill Industries of Central Indiana, Inc. | Day Training, Developmentally Disabled Services | 709 Us Highway 31 N, Greenwood, IN 46142-3938 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483296 | Chinique Care LLC | Day Training, Developmentally Disabled Services | 13905 E 39th St S Ste 105, Independence, MO 64055-3378 | 2020-09-28 |
| 1164045068 | Phillip Brown | Day Training, Developmentally Disabled Services | 4954 Hurstborough Ct, Hazelwood, MO 63042-1592 | 2020-05-26 |
| 1487205365 | Dreams, LLC | Day Training, Developmentally Disabled Services | 105 E Main St Ste 10, Richmond, MO 64085-1729 | 2019-09-23 |
| 1669037701 | Amanda Elizabeth Derousse | Day Training, Developmentally Disabled Services | 1527 Deerwood Dr, Jackson, MO 63755-4148 | 2019-05-03 |
| 1841770955 | Goodwill of Western Missouri and Eastern Kansas | Day Training, Developmentally Disabled Services | 1817 Campbell St, Kansas City, MO 64108-1739 | 2018-08-17 |
| 1457880965 | Shawn William Cairer | Day Training, Developmentally Disabled Services | 24857 Highway O, Sedalia, MO 65301-0341 | 2017-06-08 |
| 1023559481 | Vocational Visionary Opportunities | Day Training, Developmentally Disabled Services | 10105 Us Highway 63, West Plains, MO 65775-4504 | 2017-03-17 |
| 1588101315 | Reliable Home Health Services, LLC | Day Training, Developmentally Disabled Services | 663 Olivia Dr, Cape Girardeau, MO 63701-2742 | 2017-01-31 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1881140556 | Paula Smith | Day Training, Developmentally Disabled Services | 810 E North Main St, Richmond, MO 64085-1916 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
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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.