MULBERRY STREET LLC


Address: 1519 Sw State Route 7, Blue Springs, MO 64014-3944
Phone: 8162242000

MULBERRY STREET LLC (NPI# 1902099013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902099013
Entity Type Organization
Organization Name MULBERRY STREET LLC
Practice Address 1519 Sw State Route 7
Blue Springs
MO 64014-3944
Practice Telephone 8162242000
Mailing Telephone 8162242000
Enumeration Date 2007-08-22
Last Update Date 2013-01-07
Authorized Official Name MS. DIANE MARIE MACK (PRESIDENT)
Authorized Official Telephone 8162242000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities MULBERRY STREET LLC 520 Greenfield St Ne, Cedar Rapids, IA 52402

Office Location

Street Address 1519 SW STATE ROUTE 7
City BLUE SPRINGS
State MO
Zip Code 64014-3944

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NPI Name Taxonomy Address Enumeration
1437756319 Ltaj Properties LLC Physical Therapist 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 2020-10-05
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1629637764 Beau Devereux Butzirus Dentist 1125 South Mo-7, Blue Springs, MO 64014 2019-06-12
1245725605 Brian Geraghty Orthopaedic Surgery 201 Nw R D Mize Road, Blue Springs, MO 64014 2018-06-28
1588101224 Andy Anderson Prevention Professional 2705 Nw 3rd Ter, Blue Springs, MO 64014 2017-01-19
1801250469 Louis Spear Dentist 1215 A Nw 7 Highway, Blue Springs, MO 64014 2016-04-11
1083027411 Alex Sharifian Dds Blue Springs Dentistry PC Dentist 1205 Ne Coronado Drive, Blue Springs, MO 64014 2014-06-03
1730512336 Valerie Fombon Pharmacist 625 W 40 Hwy, Blue Springs, MO 64014 2013-08-19
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1205001260 Lolita Michele Rowe Gibson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3809 Sw 8th Ter, Blue Springs, MO 64015-6248 2008-04-29
1184746778 Harmony House Care Homes, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 609 Ne 3rd St, Blue Springs, MO 64014-2907 2007-04-04
1275655862 Harmony House Care Homes, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1704 Nw 9th St, Blue Springs, MO 64015-7710 2007-04-04
1366564957 Harmony House Care Homes, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 507 Nw 15th St, Blue Springs, MO 64015-3230 2007-04-04
1992827588 Harmony House Care Homes, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1016 Nw Forest Dr, Blue Springs, MO 64015-1749 2007-04-04
1154440402 Northstar Residential Care, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1900 Nw Manor Dr, Blue Springs, MO 64014-1755 2007-03-28
1891814117 Northstar Residential Care, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 201 Sw 6th Street, Blue Springs, MO 64014 2007-03-28
1770632911 Harmony House Care Homes, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2026 Nw 9th St, Blue Springs, MO 64015-1564 2007-01-09

Providers in the same taxonomy and state

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
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
1477112092 Gray Matters Alliance LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 112 W Pitman St, O Fallon, MO 63366-2819 2019-06-07
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City BLUE SPRINGS
Zip Code 64014

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Dataset Information

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.

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