NORTHWEST MISSOURI LIVING CENTER (NPI# 1851438907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851438907 |
Entity Type | Organization |
Organization Name | NORTHWEST MISSOURI LIVING CENTER |
Other Organization Name | NORTHWEST MO LEARNING CENTER |
Practice Address |
302 Maple St Tarkio MO 64491-1342 |
Mailing Address |
302 Maple Street Tarkio MO 64491 |
Practice Telephone | 6607365523 |
Practice Fax Number | 6607364884 |
Mailing Telephone | 6607365523 |
Mailing Fax Number | 6607365506 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2016-04-01 |
Authorized Official Name | MRS. CRYSTAL ANN WOODRING (DIRECTOR) |
Authorized Official Telephone | 6607365523 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MW 01168 | MO | Residential Treatment Facilities |
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 855331609 | 05 |
Other Name | Type Code |
---|---|
Northwest MO Learning Center | Former Legal Business Name - Organization |
Street Address |
302 MAPLE ST |
City | TARKIO |
State | MO |
Zip Code | 64491-1342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891836466 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Maple St, Tarkio, MO 64491-1342 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669597712 | Atchison-holt Ambulance District | Emergency Medical Technician, Paramedic | 303 South 3rd Street, Tarkio, MO 64491 | 2007-03-20 |
1023206703 | Lisa Diane England | Occupational Therapy Assistant | 402 Poplar St, Tarkio, MO 64491-1138 | 2007-10-09 |
1659901411 | Glenn Robert Scott Jr. | Counselor | 311 Spruce St, Tarkio, MO 64491-1142 | 2020-01-21 |
1518912732 | Five Star Quality Care Mo LLC | Skilled Nursing Facility | 300 Cedar St, Tarkio, MO 64491-1174 | 2006-05-24 |
1376176552 | Tarkio Hco, LLC | Skilled Nursing Facility | 300 Cedar St, Tarkio, MO 64491-1174 | 2020-02-17 |
1023589173 | Phebe Wright | Physical Therapist | 300 Cedar St, Tarkio, MO 64491-1174 | 2018-12-16 |
1407173321 | Jill Denise Eberhardt | Speech-Language Pathologist | 300 Cedar St, Tarkio, MO 64491-1174 | 2010-05-02 |
1114253127 | Tarkio Hco, LLC | Skilled Nursing Facility | 300 Cedar St, Tarkio, MO 64491-1174 | 2009-10-26 |
1174764419 | Theresa Lynn Larson | Speech-Language Pathologist | 300 Cedar St, Tarkio, MO 64491-1174 | 2009-03-17 |
1245376524 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 412 N 7th St, Tarkio, MO 64491-1202 | 2007-01-30 |
Find all providers in zip 64491 |
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 |
---|---|---|---|---|
1073650123 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 704 Elm St, Tarkio, MO 64491-1629 | 2007-01-30 |
1245376524 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 412 N 7th St, Tarkio, MO 64491-1202 | 2007-01-30 |
1891836466 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Maple St, Tarkio, MO 64491-1342 | 2007-02-08 |
1386781433 | Northwest Missouri Learning Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 805 Pine St, Tarkio, MO 64491-1639 | 2007-01-30 |
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 |
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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.