SAMUEL AND JILL HIERONYMUS (NPI# 1790138956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790138956 |
| Entity Type | Organization |
| Organization Name | SAMUEL AND JILL HIERONYMUS |
| Other Organization Name | TWIN OAKS INDEPENDENT LIVING II |
| Practice Address |
127 Tower Dr Warsaw MO 65355-3439 |
| Mailing Address |
Po Box 204 Sweet Springs MO 65351-0204 |
| Practice Telephone | 6603350091 |
| Practice Fax Number | 6603350092 |
| Mailing Telephone | 6603350091 |
| Mailing Fax Number | 6603350092 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | MRS. JILL HIERONYMUS (OWNER) |
| Authorized Official Telephone | 6603350091 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMUEL AND JILL HIERONYMUS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Twin Oaks Independent Living II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497982417 | Samuel and Jill Hieronymus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1001 N Miller St, Sweet Springs, MO 65351-9786 | 2009-06-17 |
| Street Address |
127 TOWER DR |
| City | WARSAW |
| State | MO |
| Zip Code | 65355-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107298 | Heart Core LLC | Custodial Care Facility | 810 Kennedy Dr, Warsaw, MO 65355 | 2019-11-06 |
| 1679083588 | Back In Action Chiropractic LLC | Chiropractor | 204 W Seminary St, Warsaw, MO 65355 | 2017-10-05 |
| 1295260313 | Trey Kalbaugh | Dentist | 1631 Commercial St # 4385139, Warsaw, MO 65355 | 2017-04-26 |
| 1801247523 | Show Me Physical Therapy LLC | Physical Therapist | 1870 Commercial Street, Warsaw, MO 65355 | 2016-06-23 |
| 1972945046 | Jessica G Bell | Social Worker | 23929 U.S. Highway 65, Warsaw, MO 65355 | 2013-07-18 |
| 1518198043 | Benton County Advocates for Developmental Disabilities | Home Health | 1661 Commercial Street, Warsaw, MO 65355 | 2009-07-31 |
| 1679707731 | Porter Chiropractic Clinic PC | Chiropractor | 122 W Washington St, Warsaw, MO 65355 | 2009-05-05 |
| 1770744237 | Sara Beth Forester | Speech-Language Pathologist | 134 W Kosciusko St, Warsaw, MO 65355 | 2008-06-18 |
| 1306023056 | Chantel L Brewster | Speech-Language Pathologist | 134 Kosciusko, Warsaw, MO 65355 | 2008-01-24 |
| 1871780767 | Children's Therapy Center | Community/Behavioral Health | 127 Tower Rd., Warsaw, MO 65355 | 2007-09-25 |
| Find all providers in zip 65355 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447372826 | Daniels Family Home II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 29318 Highway Mm, Warsaw, MO 65355-7091 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| 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.