JERRILYN D ADKISSON


Address: 24777 State Hwy 25, Advance, MO 63730
Phone: 5737225200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Paradise Homes Other Name - Individual/Organization

Office Location

Street Address 24777 STATE HWY 25
City ADVANCE
State MO
Zip Code 63730

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City ADVANCE
Zip Code 63730

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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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