JERRILYN D ADKISSON (NPI# 1063620565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063620565 |
Entity Type | Organization |
Organization Name | JERRILYN D ADKISSON |
Other Organization Name | PARADISE HOMES |
Practice Address |
24777 State Hwy 25 Advance MO 63730 |
Practice Telephone | 5737225200 |
Practice Fax Number | 5737225200 |
Mailing Telephone | 5737225200 |
Mailing Fax Number | 5737225200 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. JERRILYN DIANE ADKISSON (OWNER) |
Authorized Official Telephone | 5737225200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | Managed Care Organizations |
Other Name | Type Code |
---|---|
Paradise Homes | Other Name - Individual/Organization |
Street Address |
24777 STATE HWY 25 |
City | ADVANCE |
State | MO |
Zip Code | 63730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689292302 | Kimberly Backfisch | Counselor | 105b N Oak St, Advance, MO 63730 | 2020-07-09 |
1306272653 | Phelps In-home Care, LLC | In Home Supportive Care | 201 W. Sturdivant St., Advance, MO 63730 | 2013-09-18 |
1265691869 | Advance Medical Clinic | Clinic/Center | 103 South Oak Street, Advance, MO 63730 | 2008-06-09 |
1063553402 | Advance R-iv Public Schools | Local Education Agency (LEA) | 19805 State Hwy C, Advance, MO 63730 | 2007-02-09 |
1154476919 | Cindy Beussink | Speech-Language Pathologist | 19134 County Rd 208, Advance, MO 63730 | 2007-01-24 |
1225191752 | Cross Trails Medical Center | Clinic/Center | 307 Gabriel St., Advance, MO 63730 | 2006-12-18 |
1346356177 | Haven Health Cares | Clinic/Center | 502 West Sturdivant Street, Advance, MO 63730 | 2006-08-22 |
1841508264 | Cross Trails Medical Center | Dentist | 307 Gabriel St, Advance, MO 63730 | 2010-09-20 |
1326242645 | Mary Diane Reeves | Speech-Language Pathologist | 19805 State Hwy C, Box 370, Advance, MO 63730 | 2007-06-12 |
1154583987 | John Carl Graf IIi | Dentist | 307 Gabriel St, Advance, MO 63730-0039 | 2008-07-02 |
Find all providers in zip 63730 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
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1134785231 | Electronic Billing Services Inc | Point of Service | 138 N Prairie St, Sikeston, MO 63801-4251 | 2019-05-14 |
1497210629 | Paradise Group Home LLC | Point of Service | 121 Front Street, Risco, MO 63874 | 2019-02-01 |
1922578996 | Jerrilyn Diane Adkisson | Point of Service | 208 N Ingram Rd, Sikeston, MO 63801-5233 | 2018-12-03 |
1245777838 | A Better Home Life, LLC | Point of Service | 11345 Cadigan Dr, Saint Louis, MO 63138-2325 | 2017-01-20 |
1790136216 | Cornerstone Therapy Services | Point of Service | 7905 Big Bend Blvd Ste 206, Webster Groves, MO 63119-2715 | 2016-06-27 |
1811355308 | Apex Home Health Services LLC | Point of Service | 4431 Saint Leo Ln, Saint Ann, MO 63074-1241 | 2016-01-29 |
1720446214 | Precision Home Health Services LLC | Point of Service | 4436 Saint Leo Ln, Saint Ann, MO 63074-1222 | 2016-01-29 |
1306222146 | North Pointe Home Care LLC | Point of Service | 3821 Pointe Forest Dr, Florissant, MO 63034-1015 | 2015-08-04 |
1609273036 | True Care Transportation | Point of Service | 16830 Babler View Dr, Wildwood, MO 63011-1814 | 2014-12-01 |
1962803965 | Jones Beltone Hearing Center | Point of Service | 1011 N Morley St, Suite B, Moberly, MO 65270-2790 | 2014-09-09 |
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.