MARYGROVE (NPI# 1952385585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952385585 |
| Entity Type | Organization |
| Organization Name | MARYGROVE |
| Practice Address |
2705 Mullanphy Ln Florissant MO 63031-3727 |
| Practice Telephone | 3148306201 |
| Practice Fax Number | 3148306258 |
| Mailing Telephone | 3148306201 |
| Mailing Fax Number | 3148306258 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | HELEN NEGRI (CEO) |
| Authorized Official Telephone | 3148306201 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | ========= | MO | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARYGROVE | 2705 Mullanphy Ln, Florissant, MO 63031-3727 |
| System for Award Management (SAM) Entities | MARYGROVE CONSERVANCY | 8425 W Mcnichols Rd, Detroit, MI 48221-2546 |
| Street Address |
2705 MULLANPHY LN |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542267 | Lindsay Michelle Babb | Counselor | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2019-11-11 |
| 1699237826 | Joshua Lawrence Jones | Social Worker | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2019-04-05 |
| 1790262756 | Nermina Malkic | Counselor | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2018-07-23 |
| 1205343381 | Theresa Hannegan | Counselor | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2018-01-10 |
| 1124537378 | Leah Kate Gregory | Social Worker | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2017-09-20 |
| 1073046850 | Stephanie Thomas | Counselor | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2017-04-07 |
| 1881057487 | Julie Mattingly | Counselor | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2016-03-31 |
| 1164880639 | Sena Laura Frame | Social Worker | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2016-01-29 |
| 1275937385 | Elizabeth Ann Sjoberg | Social Worker | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2014-10-17 |
| 1558778886 | Alex Baer | Social Worker | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2014-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868852 | Father Dunne's Newsboys Home and Protectorate | Residential Treatment Facility, Emotionally Disturbed Children | 853 Dunn Rd, Florissant, MO 63031-8203 | 2005-06-01 |
| 1104979053 | Child Center - Marygrove | Residential Treatment Facility, Emotionally Disturbed Children | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2007-01-22 |
| 1487718854 | Catholic Comprehensive Services for Children, Child Center-marygrove | Residential Treatment Facility, Emotionally Disturbed Children | 2705 Mullanphy Ln, Florissant, MO 63031-3727 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
| 1962995993 | The Bridge Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 6033 Swope Pkwy, Kansas City, MO 64130-4461 | 2018-06-13 |
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1568914927 | Clear Creek Counseling | Residential Treatment Facility, Emotionally Disturbed Children | 3646 N Farm Road 89, Willard, MO 65781-8330 | 2016-11-01 |
| 1619330578 | Farmer Grove Homesteads Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 533 E Bedford St, Marshfield, MO 65706-1218 | 2016-03-29 |
| 1720447212 | Corner Stones of Care | Residential Treatment Facility, Emotionally Disturbed Children | 300 E 36th St, Kansas City, MO 64111-1410 | 2016-02-12 |
| 1558729509 | Cayman's House of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 311 N Poplar St, Fair Play, MO 65649-9299 | 2016-02-05 |
| 1639503691 | Proverb Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 420 Carroll St, Morehouse, MO 63868 | 2013-08-27 |
| 1306147277 | Fair Haven Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 3132 N Fair Haven Loop, Strafford, MO 65757-8619 | 2010-11-09 |
| 1437470184 | Ozarks Teen Challenge | Residential Treatment Facility, Emotionally Disturbed Children | 512 Purist Lane, Branson West, MO 65737 | 2010-06-17 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
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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.