ELLISVILLE REHAB CENTER, INC (NPI# 1104127844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104127844 |
| Entity Type | Organization |
| Organization Name | ELLISVILLE REHAB CENTER, INC |
| Practice Address |
16075 Manchester Rd Ellisville MO 63011-2103 |
| Practice Telephone | 6362560880 |
| Practice Fax Number | 6362569153 |
| Mailing Telephone | 6362560880 |
| Mailing Fax Number | 6362569153 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |
| Authorized Official Name | LESLIE ANNE SIESS (OWNER) |
| Authorized Official Telephone | 6362560880 |
| Authorized Official Credential | D.C,. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 26-6639 | MO | Managed Care Organizations |
| Street Address |
16075 MANCHESTER RD |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508991084 | Leslie Anne Reid | Chiropractor | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2007-02-23 |
| 1043439029 | Benjamin Jason Barton | Physical Therapist | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2007-04-25 |
| 1962525162 | Ellisville Chiropractic, Injury and Pain Clinic,llc | Chiropractor | 16075 Manchester Rd, Ellisville, MO 63011-2103 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "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. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1831625771 | Mba Cds Services LLC | Exclusive Provider Organization | 1217 W Malone Ave, Sikeston, MO 63801-4350 | 2017-05-11 |
| 1740721836 | A Touch of Joy | Exclusive Provider Organization | 7305 Manchester Rd Ste C2, Saint Louis, MO 63143-3109 | 2017-03-09 |
| 1760934905 | Lasher Consumer Directed Services, LLC | Exclusive Provider Organization | 2138 Woodson Rd Ste 1, Saint Louis, MO 63114-5671 | 2016-11-03 |
| 1134578230 | Daydreams Day Spa | Exclusive Provider Organization | 1945 Mike Alan Dr, Washington, MO 63090-5557 | 2016-06-09 |
| 1821493545 | Red Eye LLC | Exclusive Provider Organization | 9717 Clayton Rd, Saint Louis, MO 63124-1503 | 2014-10-23 |
| 1083029516 | St. Louis College of Pharmacy | Exclusive Provider Organization | 14733 Piety Cir, Florissant, MO 63034-3133 | 2014-06-23 |
| 1639427214 | Agile In-home Care, L.L.C. | Exclusive Provider Organization | 320 Brookes Drive, Suite 207, Hazelwood, MO 63042 | 2012-08-29 |
| 1144596263 | Genesis Adult Care, LLC | Exclusive Provider Organization | 8420 Olive Blvd, Saint Louis, MO 63132-2816 | 2012-03-23 |
| 1235407198 | Exclusive Wellness Care | Exclusive Provider Organization | 680 Meadowgrass Dr, Florissant, MO 63033-3813 | 2011-12-07 |
| 1770886897 | Makeover for Life Outreach | Exclusive Provider Organization | 4730 Margaretta Ave Fl 2, Saint Louis, MO 63115-2151 | 2010-12-10 |
| Find all providers with the same taxonomy | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
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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.