HOME COURT ADVANTAGE, INC. (NPI# 1053439190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053439190 |
| Entity Type | Organization |
| Organization Name | HOME COURT ADVANTAGE, INC. |
| Practice Address |
1211 E Broadway St Bolivar MO 65613-2952 |
| Mailing Address |
1211 E Broadway St P. O. Box 771 Bolivar MO 65613-2952 |
| Practice Telephone | 4177776980 |
| Practice Fax Number | 4177776981 |
| Mailing Telephone | 4177776980 |
| Mailing Fax Number | 4177776981 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT MCCRIMMON (CEO) |
| Authorized Official Telephone | 4177776980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities | |
| X | 323P00000X | Psychiatric Residential Treatment Facility | MO | Residential Treatment Facilities | |
| X | 323P00000X | Psychiatric Residential Treatment Facility | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346464344 | Home Court Advantage, Inc. | Psychiatric Residential Treatment Facility | 1211 E Broadway St, Bolivar, MO 65613-2952 | 2007-04-12 |
| 1164646162 | Home Court Advantage, Inc. | Psychiatric Residential Treatment Facility | 1211 E Broadway St, Bolivar, MO 65613-2952 | 2007-04-12 |
| Street Address |
1211 E BROADWAY ST |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-2952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312459 | Southern Light Residential | Counselor | 1211 E Broadway St, Bolivar, MO 65613-2952 | 2017-08-16 |
| 1144402488 | Home Court Advantage V | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1211 E Broadway St, Bolivar, MO 65613-2952 | 2007-11-28 |
| 1346464344 | Home Court Advantage, Inc. | Psychiatric Residential Treatment Facility | 1211 E Broadway St, Bolivar, MO 65613-2952 | 2007-04-12 |
| 1164646162 | Home Court Advantage, Inc. | Psychiatric Residential Treatment Facility | 1211 E Broadway St, Bolivar, MO 65613-2952 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| Find all providers in zip 65613 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588873830 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1700 S Mission Ave, Bolivar, MO 65613-2750 | 2007-05-22 |
| 1174731053 | Horizons of Tuscarawas and Carroll Counties, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10071 State Route 212 Ne, Bolivar, OH 44612-8780 | 2007-05-21 |
| 1346458544 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1621 E 455th Rd, Bolivar, MO 65613-8473 | 2007-05-19 |
| 1831248517 | Mashburn Residential Learning Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 807 N Briarwood Dr, Bolivar, MO 65613-1281 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| 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.