LAKE OF THE OZARKS DEVELOPMENTAL CENTER (NPI# 1871627448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871627448 |
| Entity Type | Organization |
| Organization Name | LAKE OF THE OZARKS DEVELOPMENTAL CENTER |
| Practice Address |
1867 South State Highway 5 Camdenton MO 65020 |
| Mailing Address |
Po Box 753 Camdenton MO 65020-0753 |
| Practice Telephone | 5733464574 |
| Practice Fax Number | 5733467426 |
| Mailing Telephone | 5733464574 |
| Mailing Fax Number | 5733467426 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | MS. MARILYN LEIGH MARTIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5733464574 |
| 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 | 15428899 | MO | Residential Treatment Facilities |
| N | 343900000X | Non-emergency Medical Transport (VAN) | 15428899 | MO | Transportation Services |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 15428899 | MO | Agencies |
| Street Address |
1867 SOUTH STATE HIGHWAY 5 |
| City | CAMDENTON |
| State | MO |
| Zip Code | 65020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295383024 | Carinda Elynn Steele | Physical Therapy Assistant | 1930 N Business 5, Camdenton, MO 65020 | 2019-08-26 |
| 1831651660 | Erin Elisabeth Sluyter | Physician Assistant | 1652 North Business Route 5, Camdenton, MO 65020 | 2019-04-01 |
| 1922575125 | Serene Shores, LLC | Counselor | 75 Court Circle Se, Camdenton, MO 65020 | 2018-10-26 |
| 1902396591 | Audrey Dawn Sheppard | Counselor | 89 Mccrory Dr, Camdenton, MO 65020 | 2018-05-18 |
| 1427586072 | Abc Laurie LLC | Chiropractor | 139 E Hwy 54 Suite 1c, Camdenton, MO 65020 | 2017-05-26 |
| 1891229878 | Benton Street Counseling LLC | Counselor | 89 Mccrory Drive, Camdenton, MO 65020 | 2017-04-17 |
| 1033658463 | Erica L Asbell | Social Worker | 172 Dare Blvd., Camdenton, MO 65020 | 2017-02-17 |
| 1376816967 | Linda Susan Sheriff | Speech-Language Pathologist | 158 Minor Street, Camdenton, MO 65020 | 2012-02-14 |
| 1285902031 | Gregory Ryan Boren | Pharmacist | 72 South Business Route 5, Camdenton, MO 65020 | 2011-12-08 |
| 1265757033 | Abcs of Wellness, LLC | Chiropractor | 139 E. Hwy 54, 1c, Camdenton, MO 65020 | 2010-04-05 |
| Find all providers in zip 65020 | ||||
| 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 |
|---|---|---|---|---|
| 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.