DILLAHUNT ENTERPRISES, LLC (NPI# 1083073498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083073498 |
| Entity Type | Organization |
| Organization Name | DILLAHUNT ENTERPRISES, LLC |
| Other Organization Name | DILLAHUNT ISL |
| Practice Address |
4300 Royal Aberdeen St Columbia MO 65203-4810 |
| Practice Telephone | 5734454408 |
| Practice Fax Number | 5734454408 |
| Mailing Telephone | 5734454408 |
| Mailing Fax Number | 5734454408 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MS. NANCY JANE DILLAHUNT (PROVIDER) |
| Authorized Official Telephone | 5734454408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | 093669 | MO | Nursing & Custodial Care Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Dillahunt ISL | Former Legal Business Name - Organization |
| Street Address |
4300 ROYAL ABERDEEN ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972637346 | Dillahunt Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4300 Royal Aberdeen St, Columbia, MO 65203-4810 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| 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 |
|---|---|---|---|---|
| 1285257816 | The Behavior Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Cardington Ct, Columbia, SC 29209-3241 | 2020-05-18 |
| 1891213690 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 46 Koeck Rd, Columbia, NJ 07832-2007 | 2017-09-01 |
| 1124561907 | Eric Vahle | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3611 Wakefield Dr, Columbia, MO 65203-4462 | 2016-11-28 |
| 1104201540 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 288 Route 94, Columbia, NJ 07832 | 2015-07-28 |
| 1952781866 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Route 94, Columbia, NJ 07832-2771 | 2015-06-05 |
| 1699076711 | Independent Living Concepts, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2704 Andy Dr, Columbia, MO 65202-2012 | 2010-11-05 |
| 1699082743 | Fidelis Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3905 Faurot Dr, Columbia, MO 65203-0309 | 2010-09-10 |
| 1801121397 | Integrated Lifestyles LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 Bourn Ave, Columbia, MO 65203-1459 | 2009-10-16 |
| 1922243955 | Robert Verdell Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Edmonds Ct, Columbia, MO 65203-8465 | 2008-12-04 |
| 1992970107 | Florence Denise Rainey Hicks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 Lambeth Dr, Columbia, MO 65202-2462 | 2008-04-29 |
| Find all providers in COLUMBIA | ||||
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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.