PREFERRED FAMILY HEALTHCARE, INC. (NPI# 1013063486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013063486 |
| Entity Type | Organization |
| Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
| Practice Address |
900 E Laharpe St Kirksville MO 63501-4520 |
| Practice Telephone | 6606651962 |
| Practice Fax Number | 6606653989 |
| Mailing Telephone | 6606651962 |
| Mailing Fax Number | 6606653989 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | MARK CONOVER (COO) |
| Authorized Official Telephone | 5736031460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6300-9238 | MO | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
6300-9238 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 503218109 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992743 | Preferred Family Healthcare, Inc. | Clinic/Center | 1 Healthcare Pl, Bowling Green, MO 63334-3602 | 2018-05-16 |
| 1770086316 | Preferred Family Healthcare, Inc. | Clinic/Center | 725 Cleveland St, Paris, MO 65275-1119 | 2018-03-09 |
| 1700326816 | Preferred Family Healthcare, Inc. | Clinic/Center | 2114 Se Washington Blvd, Bartlesville, OK 74006-7254 | 2017-03-08 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1376904086 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 522 E Lakeview Rd, Stillwater, OK 74075-2825 | 2016-03-09 |
| 1184082380 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 815 Elm St, Frederick Ball Public Housing, Quincy, IL 62301-2365 | 2016-02-02 |
| 1124499074 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 540 Harrison St, Quincy, IL 62301-7236 | 2015-10-16 |
| 1871969964 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 639 York St Rm 212, Quincy, IL 62301-3919 | 2015-08-12 |
| 1386029072 | Preferred Family Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2646 W Olive St, Apt A, Springfield, MO 65802-4620 | 2015-07-23 |
| 1528446986 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 4928 Delmar Blvd, Saint Louis, MO 63108-1615 | 2015-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREFERRED FAMILY HEALTHCARE, INCORPORATED | 900 E Laharpe, Kirksville, MO 63501-4520 |
| Street Address |
900 E LAHARPE ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919993 | Summer M. Nelson | Counselor | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2020-10-13 |
| 1659980951 | Stacey Shores | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2020-07-23 |
| 1114545829 | Jaclyn Kay Berning | Counselor | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2020-07-09 |
| 1023664810 | Joseph Cox | Counselor | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2019-08-16 |
| 1053964429 | Brianna Couch | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2019-07-24 |
| 1184193815 | Kitara Truitt | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2018-11-26 |
| 1801381876 | Shelby Leppin | Nurse Practitioner | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2018-06-22 |
| 1114459674 | Pamela Stills | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2017-04-03 |
| 1457895377 | Elissa Tippett | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2016-12-12 |
| 1124560248 | Preferred Family Healthcare | Community/Behavioral Health | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174977284 | Preferred Family Healthcare, Inc. | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2016-04-15 |
| 1992838890 | Preferred Family Healthcare | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2007-03-13 |
| 1952446064 | Preferred Family Healthcare, Inc. | Clinic/Center | 1101 Jamison St, Kirksville, MO 63501-3943 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
| 1700233145 | New Beginnings C-star | Clinic/Center | 1408 N Kingshighway Blvd Ste 4, Saint Louis, MO 63113-1426 | 2016-05-16 |
| 1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1659718609 | Hannibal Council On Alcohol & Drug Abuse | Clinic/Center | 146 Communication Dr, Hannibal, MO 63401-3672 | 2013-05-31 |
| 1194026765 | Family Counseling Center, Inc. | Clinic/Center | 500 Us Hwy 61 North, Hayti, MO 63851 | 2010-11-12 |
| 1942501143 | Swope Health Services | Clinic/Center | 3950 E 51st St, Kansas City, MO 64130-3081 | 2010-11-04 |
| 1750682043 | Black Alcohol/drug Service Information Center | Clinic/Center | 3026 Locust St, Saint Louis, MO 63103-1329 | 2010-11-03 |
| 1932412186 | Comprehensive Mental Health Services, Inc/renaisance West | Clinic/Center | 5840 Swope Pkwy, Kansas City, MO 64130-4262 | 2010-07-16 |
| 1609194448 | Southeast Missouri Behavioral Health | Clinic/Center | 216 Piedmont Ave Ste 304, Piedmont, MO 63957-1017 | 2010-05-04 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.