APPLEWOOD LANE CORPORATION (NPI# 1093977365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093977365 |
| Entity Type | Organization |
| Organization Name | APPLEWOOD LANE CORPORATION |
| Other Organization Name | BROOKWOOD GROUP HOME |
| Practice Address |
27 Hopper Trl Urbana MO 65767-9234 |
| Practice Telephone | 4177224416 |
| Practice Fax Number | 4177224417 |
| Mailing Telephone | 4177224416 |
| Mailing Fax Number | 4177224417 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MR. GARY D BOGGS (DIRECTOR) |
| Authorized Official Telephone | 4177224416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1471 10370 | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookwood Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164567269 | Applewood Lane Corporation | Counselor | 18811 Highway 32, Lebanon, MO 65536-8102 | 2007-02-20 |
| Street Address |
27 HOPPER TRL |
| City | URBANA |
| State | MO |
| Zip Code | 65767-9234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871638999 | Evergreen Group Home, LLC | Counselor | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-02-20 |
| 1841452109 | Evergreen Group Home | Intermediate Care Facility, Mentally Retarded | 27 Hopper Trl, Urbana, MO 65767-9234 | 2008-06-27 |
| 1215055371 | Lakeshores Residential Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-27 |
| 1750408365 | Applewood In-home Health | Nursing Care | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-26 |
| 1407973597 | Applewood In-home Health | Home Health | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-23 |
| 1447375084 | Pineview Group Home | Intermediate Care Facility, Mental Illness | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839986 | Judith A Taylor | Family Medicine | 311 W Broadway, Urbana, MO 65767 | 2006-02-08 |
| 1467070227 | Kimberly Renee Choate | Social Worker | 111 Main St, Urbana, MO 65767 | 2020-07-08 |
| 1073838199 | A New Hope Hospice | Hospice Care, Community Based | 16 Pleasant Ridge Dr, Urbana, MO 65767-8121 | 2010-03-31 |
| 1528021565 | Urbana Medical Clinic, L.L.C. | Family Medicine | 311 W Broadway St, Urbana, MO 65767-9101 | 2006-04-10 |
| 1760731053 | Christian Home Care LLC | In Home Supportive Care | 311 W Broadway St, Urbana, MO 65767-9101 | 2012-09-03 |
| 1487024667 | Ozarks Resource Group | Clinic/Center | 111 N Main St, Urbana, MO 65767-9152 | 2015-10-01 |
| 1699808279 | Car Dieus Enterprises | Day Training, Developmentally Disabled Services | 211 N Main St, Urbana, MO 65767-9164 | 2007-03-13 |
| 1609333624 | Urbana Rest Home | Community Based Residential Treatment Facility, Mental Illness | 310 Walnut St, Urbana, MO 65767-9208 | 2019-02-26 |
| 1548734957 | Marion Lynn Bailey | Community Based Residential Treatment Facility, Mental Illness | 310 Walnut St, Urbana, MO 65767-9208 | 2019-01-18 |
| 1033234919 | Beacon Hill Group Home | Intermediate Care Facility, Mental Illness | 399 State Road Bb, Urbana, MO 65767-9253 | 2007-03-20 |
| Find all providers in zip 65767 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124184924 | The Champaign County Board of Commissioners | Intermediate Care Facility, Mentally Retarded | 2380 S Us Highway 68, Urbana, OH 43078-9470 | 2006-12-28 |
| 1841452109 | Evergreen Group Home | Intermediate Care Facility, Mentally Retarded | 27 Hopper Trl, Urbana, MO 65767-9234 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699213603 | Equilibrium Homes of St. Louis LLC | Intermediate Care Facility, Mentally Retarded | 3054 Sir Christopher Ln, Florissant, MO 63033-3114 | 2017-02-09 |
| 1164657664 | Caring Hands LLC | Intermediate Care Facility, Mentally Retarded | 2832 558th Rd, Albany, MO 64402-8138 | 2009-05-27 |
| 1477788966 | Loving Orchards Homes | Intermediate Care Facility, Mentally Retarded | 1400 Sw Merryman Dr, Lees Summit, MO 64082-3906 | 2009-05-27 |
| 1073771358 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3117 Maury Ave, Saint Louis, MO 63116-2021 | 2008-05-23 |
| 1619135985 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 7400 Augusta Ave, Saint Louis, MO 63121-4802 | 2008-05-23 |
| 1255599528 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 4242 Russell Blvd, Saint Louis, MO 63110-3511 | 2008-05-23 |
| 1619135993 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3900 Canterbury Dr, Saint Louis, MO 63121-2500 | 2008-05-23 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1376667469 | Focus On Residential Services Dba Lafayette Habilitation Center | Intermediate Care Facility, Mentally Retarded | 2701 Henrietta St, Saint Louis, MO 63104-2007 | 2007-03-16 |
| 1336273069 | Manor Home | Intermediate Care Facility, Mentally Retarded | 107 Nanette St, Belton, MO 64012-3032 | 2007-03-15 |
| 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.