SERC OF HARRISONVILLE, L.L.C. (NPI# 1093920639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093920639 |
| Entity Type | Organization |
| Organization Name | SERC OF HARRISONVILLE, L.L.C. |
| Other Organization Name | SERC OF HARRISONVILLE |
| Practice Address |
815 Westchester Avenue Harrisonville MO 64701 |
| Practice Telephone | 8163803344 |
| Practice Fax Number | 8163803044 |
| Mailing Telephone | 8163803344 |
| Mailing Fax Number | 8163803044 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHERRY A PURVIS (OWNER, MANAGER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8163803344 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
MO | Suppliers |
| Other Name | Type Code |
|---|---|
| SERC of Harrisonville | Doing Business As Name - Organization |
| Street Address |
815 WESTCHESTER AVENUE |
| City | HARRISONVILLE |
| State | MO |
| Zip Code | 64701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1972154300 | Amanda Wilkes | Counselor | 105c W Wall St, Harrisonville, MO 64701 | 2019-09-26 |
| 1740762806 | John Curtis Burton | Optometrist | 2100 E. Mechanic Street, Harrisonville, MO 64701 | 2018-09-05 |
| 1629595368 | Megan Elizabeth Griffin | Speech-Language Pathologist | 503 S. Lexington St, Harrisonville, MO 64701 | 2017-08-24 |
| 1073853586 | Lon Roland Tracy | Dentist | 300 S. Independence Street, Harrisonville, MO 64701 | 2013-02-20 |
| 1932491396 | Leesa Bowman | Occupational Therapist | 2001 Jefferson Pkwy, Harrisonville, MO 64701 | 2011-05-04 |
| 1952543894 | Sarah Sharp | Chiropractor | 207 E Wall St., Harrisonville, MO 64701 | 2009-03-24 |
| 1386833788 | Elaine Boyd | Nurse Practitioner | 300 Galaxie Ave., Harrisonville, MO 64701 | 2007-10-22 |
| 1104948074 | Dream Makers Inc | Day Training, Developmentally Disabled Services | 703 S Independence, Harrisonville, MO 64701 | 2007-04-04 |
| Find all providers in zip 64701 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871724047 | Serc Hand of Cass County LLC | Durable Medical Equipment & Medical Supplies | 815 Westchester Ave, Harrisonville, MO 64701-1784 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759873 | Jonathan R Ehlers Dds PC | Durable Medical Equipment & Medical Supplies | 991 Winchester Dr Ste 1, Sedalia, MO 65301-2553 | 2020-01-09 |
| 1881240349 | Jerry Lee Long Jr. | Durable Medical Equipment & Medical Supplies | 6654 Bitteroot Ln, Saint Louis, MO 63134-1451 | 2019-08-12 |
| 1558868703 | Sleep Better Missouri LLC | Durable Medical Equipment & Medical Supplies | 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804-6539 | 2018-04-12 |
| 1376082156 | Central States Medical Distributors LLC | Durable Medical Equipment & Medical Supplies | 9006 Ne 80th St, Kansas City, MO 64158-7604 | 2017-02-14 |
| 1710424148 | Billie Bleckler | Durable Medical Equipment & Medical Supplies | 11429 Panther Ridge Dr, Ste Genevieve, MO 63670-7173 | 2017-01-24 |
| 1942751086 | Cherry Hill Dental Associates Inc | Durable Medical Equipment & Medical Supplies | 923 S Country Club Dr, Jefferson City, MO 65109-0352 | 2016-10-24 |
| 1295183523 | Total Respiratory and Rehab, Inc. | Durable Medical Equipment & Medical Supplies | 2112 W Vista St, Springfield, MO 65807-5918 | 2016-05-26 |
| 1255721114 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 131 Progress Pkwy, Sullivan, MO 63080-2359 | 2015-01-30 |
| 1326460502 | Rita's Hearing Center and Repairs | Durable Medical Equipment & Medical Supplies | 1914 N Plymouth Rd, Independence, MO 64058-1321 | 2014-01-07 |
| 1215368360 | Mike Stuart Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1811 W Sunset St, Springfield, MO 65807-5901 | 2013-11-27 |
| Find all providers with the same taxonomy | ||||
| City | HARRISONVILLE |
| Zip Code | 64701 |
Please comment or provide details below to improve the information on SERC OF HARRISONVILLE, L.L.C..
| 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.