SHEPHERD'S VIEW, INC. (NPI# 1891739033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891739033 |
Entity Type | Organization |
Organization Name | SHEPHERD'S VIEW, INC. |
Other Organization Name | SHEPHERD'S VIEW ASSISTED LIVING |
Practice Address |
100 Shepherds Lane Alton MO 65606 |
Mailing Address |
100 Shepherds Lane Po Box 429 Alton MO 65606 |
Practice Telephone | 4177787959 |
Practice Fax Number | 4177781849 |
Mailing Telephone | 4177787959 |
Mailing Fax Number | 4177781849 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2016-07-11 |
Authorized Official Name | MRS. BECKIE DAWN COMBS (PRESIDENT) |
Authorized Official Telephone | 4177787959 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
030781 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 265179200 | 05 |
Other Name | Type Code |
---|---|
Shepherd's View Assisted Living | Doing Business As Name - Organization |
Street Address |
100 SHEPHERDS LANE |
City | ALTON |
State | MO |
Zip Code | 65606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689201105 | Bryan Hathcock | Physical Therapy Assistant | 100 Medical Dr., Alton, MO 65606 | 2020-03-25 |
1366920068 | Benita Ann Casey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rt 73 Mail Box # 352210, Alton, MO 65606 | 2018-08-03 |
1942756465 | C & P Alton Ventures LLC | Pharmacy | 201 State Hwy 19, Alton, MO 65606 | 2016-08-26 |
1902253743 | Ready Transportation, Inc | Non-emergency Medical Transport (VAN) | 401 P Lane, Alton, MO 65606 | 2016-05-23 |
1164770822 | S & W Healthcare | Pharmacy | 603 N Hwy 160, Alton, MO 65606 | 2012-08-28 |
1396036661 | Carol Colley | Counselor | Rural Route 72, Box 219001, Alton, MO 65606 | 2011-04-21 |
1740307636 | T. J. Swift House, Inc. | Respite Care | # 10 Court Square, Alton, MO 65606 | 2007-03-23 |
1992214407 | Helen Kayleen King | Nurse Practitioner | 100 Medical Drive, Alton, MO 65606 | 2017-09-27 |
1205286937 | Oregon County Developmental Resources Board | Case Management | 202 South Main Street, Alton, MO 65606 | 2016-06-14 |
1437567211 | S&w Healthcare | Durable Medical Equipment & Medical Supplies | 603 N Hwy 160, Alton, MO 65606 | 2014-07-24 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
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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.