BOYS AND GIRLS TOWN OF MISSOURI (NPI# 1083878839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083878839 |
| Entity Type | Organization |
| Organization Name | BOYS AND GIRLS TOWN OF MISSOURI |
| Practice Address |
13160 County Rd 3610 St. James MO 65559 |
| Practice Telephone | 5732653251 |
| Mailing Telephone | 5732653251 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | MS. ALFAYE JACKSON (THERAPIST) |
| Authorized Official Telephone | 5732653251 |
| Authorized Official Credential | PLPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 2008015070 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 2008015070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417000621 | Boys and Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 1212 W Lombard St, Springfield, MO 65806-2720 | 2007-01-19 |
| 1306999511 | Boys and Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 13160 County Road 3610, Boys & Girls Town of Missouri, St. James, MO 65559 | 2007-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOYS AND GIRLS TOWN OF MISSOURI | 13160 County Rd 3610, Saint James, MO 65559-9151 |
| Street Address |
13160 COUNTY RD 3610 |
| City | ST. JAMES |
| State | MO |
| Zip Code | 65559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124003322 | Rhonda S Althage | Counselor | 13160 County Rd 3610, St. James, MO 65559 | 2005-12-09 |
| 1073997367 | Tiffany Lenger | Counselor | 13160 County Rd 3610, St. James, MO 65559 | 2015-07-16 |
| 1871988535 | Carley Jo Casey | Social Worker | 13160 County Rd 3610, St. James, MO 65559 | 2015-03-31 |
| 1255579611 | Jonathan Michael Wells | Counselor | 13160 County Rd 3610, St. James, MO 65559 | 2009-01-23 |
| 1477734465 | William Eugene White Jr. | Counselor | 13160 County Rd 3610, St. James, MO 65559-9999 | 2007-11-18 |
| 1386717007 | Kathleen Marie Kallman | Counselor | 13160 County Rd 3610, St. James, MO 65559 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033605282 | Sarah Curtis | Speech-Language Pathologist | 620 N. Jefferson St., St. James, MO 65559 | 2018-07-10 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1346490638 | Diana Brandt | Physical Therapist | 115 E. Springfield, St. James, MO 65559 | 2008-09-24 |
| 1336346147 | Angela Michelle Taylor | Counselor | 32151 County Road 3610, St. James, MO 65559 | 2007-06-27 |
| 1790839850 | Donna L Rippelmeyer | Social Worker | 104 N Jefferson, St James, MO 65559 | 2007-01-23 |
| 1689735128 | Christine G Durbin | Nurse Practitioner | 1000 N. Jefferson St, Saint James, MO 65559 | 2006-12-12 |
| 1730250762 | Forest City Health Mart Pharmacy | Pharmacist | 1000 B N Jefferson, Saint James, MO 65559 | 2006-11-13 |
| 1659440014 | Jesus Martinez | Social Worker | 13160 County Rd. 3610, St. James, MO 65559 | 2006-11-07 |
| 1790895100 | St. James Ambulance District | Ambulance | 203 S. Louise, St. James, MO 65559 | 2006-08-30 |
| 1811910052 | Susanna Heike White | Counselor | 13160 Cty Rd 3610, St. James, MO 65559 | 2006-07-26 |
| Find all providers in zip 65559 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642010 | Southview Health Care, LLC. | Community Based Residential Treatment Facility, Mental Illness | 951 Creamery Rd, West Plains, MO 65775-6052 | 2019-04-23 |
| 1902369663 | Anna Dodson Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4616 Hwy D, Farmington, MO 63640-7241 | 2019-04-10 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1467919233 | Ted-lea, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9444 Midland Blvd, Overland, MO 63114-3328 | 2019-02-27 |
| 1639633290 | Synergy Executive, LLC | Community Based Residential Treatment Facility, Mental Illness | 2608 Smyrna Rd, Ozark, MO 65721-7674 | 2019-01-29 |
| 1467958553 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 2614 Benton Blvd, Kansas City, MO 64127-4149 | 2018-04-05 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1689098188 | Venus Independent Living LLC | Community Based Residential Treatment Facility, Mental Illness | 301 S Coffey St, Vienna, MO 65582-8862 | 2014-02-05 |
| 1699108381 | Sunny Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 134 Gray St, Festus, MO 63028-1949 | 2013-08-16 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 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.