MRS. DARLENE MARIE LONERGAN (NPI# 1053515346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053515346 |
| Entity Type | Individual |
| Full Name | MRS. DARLENE MARIE LONERGAN |
| Practice Address |
11304 Trevor Dr Peculiar MO 64078-9314 |
| Practice Telephone | 8167794242 |
| Practice Fax Number | 8167794242 |
| Mailing Telephone | 8167794242 |
| Mailing Fax Number | 8167794242 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 0083101 | MO | Residential Treatment Facilities |
| Street Address |
11304 TREVOR DR |
| City | PECULIAR |
| State | MO |
| Zip Code | 64078-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1902361587 | Tanner Christensen | Chiropractor | C, 201 State Hwy C, Peculiar, MO 64078 | 2019-02-07 |
| 1699247981 | Lucinda Pennington | Counselor | 17101 E 203rd St, Peculiar, MO 64078 | 2018-12-26 |
| 1891212189 | Kathleen Johnston | Occupational Therapist | 21005 S School Rd., Pecuilar, MO 64078 | 2017-08-28 |
| 1881076404 | Thayer Banwart | Chiropractor | 201 State C Hwy, Peculiar, MO 64078 | 2015-06-19 |
| 1952585978 | Mbch Children and Family Ministries | Voluntary or Charitable | 20509 S. State Rte J, Peculiar, MO 64078 | 2007-12-27 |
| 1487871471 | Raymore-peculiar Reorganized School | Physical Therapist | 21005 S School Road, Peculiar, MO 64078-0366 | 2007-04-19 |
| 1235215278 | Christy Grimes | Social Worker | 20509 South State Route J, Peculiar, MO 64078-0447 | 2006-10-31 |
| 1720225675 | Balanced Health | Chiropractor | 215 N Main St, Peculiar, MO 64078-2522 | 2009-01-14 |
| 1073671483 | Sheryl Lynn Phillips | Pharmacist | 219 N Main St, Peculiar, MO 64078-2522 | 2006-12-05 |
| Find all providers in zip 64078 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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.