RESCARE OF MISSOURI, INC.


Address: 828 Jefferson St, Fulton, MO 65251-1877
Phone: 5736427770

RESCARE OF MISSOURI, INC. (NPI# 1063530657) 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) 1063530657
Entity Type Organization
Organization Name RESCARE OF MISSOURI, INC.
Other Organization Name JEFFERSON LODGE
Practice Address 828 Jefferson St
Fulton
MO 65251-1877
Practice Telephone 5736427770
Mailing Telephone 5736427770
Enumeration Date 2007-03-26
Last Update Date 2008-06-27
Authorized Official Name MR. ERIC FINK (OWNER)
Authorized Official Telephone 5736427770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 019389 MO Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MO 266715804 05

Other Provider/Organization Names

Other Name Type Code
Jefferson Lodge Doing Business As Name - Organization

Office Location

Street Address 828 JEFFERSON ST
City FULTON
State MO
Zip Code 65251-1877

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1861828105 Justin Ryan Campbell Occupational Therapist 508 Saint Eunice Road, Fulton, MO 65251 2013-09-18
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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1285639625 Oswego Health Home Care LLC.. Home Health 113 Schuyler St, Fulton, NY 13069-1652 2005-06-14
1265933857 Oswego County Oppportunities, Inc. Home Health 239 Oneida St, Attn: Katrina Seymour, Fulton, NY 13069-1228 2018-02-28
1740404540 Lifeline Home Health Care of Fulton, LLC Home Health 309 Main St, Fulton, KY 42041-1603 2007-04-12
1467445841 Healthmont of Missouri Home Health 10 S Hospital Dr, Fulton, MO 65251-2510 2005-08-31

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1265033468 Annette Presley Home Health 3008 Glade Ave, Saint Louis, MO 63136-1513 2020-11-04
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1700487386 Cwc Ihs, LLC Home Health 2347 Vorhof Dr, Saint Louis, MO 63136-5727 2020-11-02
1154922698 Ericka Nycole Willis Home Health 4031 Dryden Ave, Saint Louis, MO 63115-2444 2020-11-02
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1114526894 All About Love & Care Inc Home Health 2116 N Waterford Dr, Florissant, MO 63033-2301 2020-10-22
1639778764 Icu Healthcare Solutions LLC Home Health 2441 Saint Cyr Rd, Jennings, MO 63136-5218 2020-10-20
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Competitor

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City FULTON
Zip Code 65251

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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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