JASPER COUNTY SHETLERED FACILITIES ASSOC (NPI# 1811011554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811011554 |
| Entity Type | Organization |
| Organization Name | JASPER COUNTY SHETLERED FACILITIES ASSOC |
| Other Organization Name | COMMUNITY SUPPORT SERVICES OF MO |
| Practice Address |
2312 Annie Baxter Ave Joplin MO 64804-0329 |
| Practice Telephone | 4176244515 |
| Practice Fax Number | 4176249064 |
| Mailing Telephone | 4176244515 |
| Mailing Fax Number | 4176249064 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JHAN R. HURN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4176244515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Community Support Services of Mo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942324041 | Jasper County Shetlered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2147 Forest Dr, Carthage, MO 64836-3673 | 2007-03-16 |
| Street Address |
2312 ANNIE BAXTER AVE |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-0329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013041169 | Jasper County Sheltered Facilities Assc. | Day Training, Developmentally Disabled Services | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-14 |
| 1407239171 | Skillset LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2015-06-30 |
| 1487778155 | Jasper County Sheltered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
| 1043334717 | Jasper County Sheltered Facilities Assoc | Day Training, Developmentally Disabled Services | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
| 1306960075 | Jasper County Sheltered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| 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 |
|---|---|---|---|---|
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| 1003338328 | Joystar Group Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 748 E 124th St, Kansas City, MO 64146-1100 | 2017-07-07 |
| 1417340357 | Jefferson Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 902 Jefferson Ave, Cape Girardeau, MO 63703-6755 | 2015-03-17 |
| 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.