FOUR SEASONS IN HOME SERVICES, LLC (NPI# 1851429807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851429807 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS IN HOME SERVICES, LLC |
| Practice Address |
712 S Montgomery Ave Sedalia MO 65301-4654 |
| Practice Telephone | 6608262600 |
| Practice Fax Number | 6608260021 |
| Mailing Telephone | 6608262600 |
| Mailing Fax Number | 6608260021 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD JOSEPH DESTEPHANE (PRESIDENT) |
| Authorized Official Telephone | 6608262600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 8000781 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477616522 | Four Seasons In Home Services, LLC | Licensed Practical Nurse | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2006-12-19 |
| Street Address |
712 S MONTGOMERY AVE |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477616522 | Four Seasons In Home Services, LLC | Licensed Practical Nurse | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2006-12-19 |
| 1477681344 | Four Seasons In Home Services,llc | Homemaker | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2007-03-01 |
| 1134257181 | Four Seasons In Home Services,llc | Day Training/Habilitation Specialist | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| 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 |
|---|---|---|---|---|
| 1134257181 | Four Seasons In Home Services,llc | Day Training/Habilitation Specialist | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481518 | Bilal Malik Shabazz | Day Training/Habilitation Specialist | 113 Link Dr, Sikeston, MO 63801-5132 | 2020-03-09 |
| 1689131880 | Community Connections Stl LLC | Day Training/Habilitation Specialist | 225 Stage Coach Landing Dr, Saint Peters, MO 63376-4210 | 2019-02-23 |
| 1568946978 | Jennifer Dean Green | Day Training/Habilitation Specialist | 523 2nd St E, Scott City, MO 63780-2418 | 2018-09-20 |
| 1104339365 | Hassan Johnson | Day Training/Habilitation Specialist | 7630 E 79th St Unit 702, Kansas City, MO 64138-1453 | 2017-11-09 |
| 1730578832 | Vernita Lewis | Day Training/Habilitation Specialist | 126 Flora Dr, Saint Louis, MO 63135-1025 | 2015-01-13 |
| 1548460934 | Doris Rean Smith | Day Training/Habilitation Specialist | 211 E Excelsior St Apt 2, Excelsior Springs, MO 64024-2264 | 2007-07-23 |
| 1679691117 | Humble Hearts Care Service | Day Training/Habilitation Specialist | 652 State Rd M, Conway, MO 65632 | 2007-03-26 |
| 1245370808 | Covenant Care Services, LLC | Day Training/Habilitation Specialist | 120 S Mine La Motte St, Fredericktown, MO 63645-1229 | 2007-02-06 |
| 1770618274 | James Mitchell Germann | Day Training/Habilitation Specialist | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-23 |
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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.