SHANNON COUNTY HEALTH CENTER (NPI# 1104956820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104956820 |
Entity Type | Organization |
Organization Name | SHANNON COUNTY HEALTH CENTER |
Other Organization Name | SHANNON COUNTY HOME HEALTH AGENCY |
Practice Address |
18018 Grey Jones Drive Eminence MO 65466 |
Mailing Address |
Po Box 788 Eminence MO 65466-0788 |
Practice Telephone | 5732263914 |
Practice Fax Number | 5732263240 |
Mailing Telephone | 5732263914 |
Mailing Fax Number | 5732263240 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2018-09-10 |
Authorized Official Name | KANDRA COUNTS (ADMINISTRATOR) |
Authorized Official Telephone | 5732263914 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 280563404 | 05 |
Other Name | Type Code |
---|---|
Shannon County Home Health Agency | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326022062 | Shannon County Health Center | Home Health | 18018 Grey Jones Drive, Eminence, MO 65466-0788 | 2005-12-06 |
1790815405 | Shannon County Health Center | In Home Supportive Care | 18018 Grey Jones Drive, Eminence, MO 65466 | 2007-03-06 |
1528198157 | Shannon County Health Center | Public Health or Welfare | 18018 Grey Jones Drive, Eminence, MO 65466 | 2007-03-06 |
Street Address |
18018 GREY JONES DRIVE |
City | EMINENCE |
State | MO |
Zip Code | 65466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326022062 | Shannon County Health Center | Home Health | 18018 Grey Jones Drive, Eminence, MO 65466-0788 | 2005-12-06 |
1790815405 | Shannon County Health Center | In Home Supportive Care | 18018 Grey Jones Drive, Eminence, MO 65466 | 2007-03-06 |
1528198157 | Shannon County Health Center | Public Health or Welfare | 18018 Grey Jones Drive, Eminence, MO 65466 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780167650 | Eminence R-1 School District | Local Education Agency (LEA) | 17829 South 6th Street, Eminence, MO 65466 | 2018-09-07 |
1154801611 | Regional Services | Nurse Practitioner | 505 S 6th St, Eminence, MO 65466 | 2018-08-15 |
1477728244 | Dale Family Medicine | Clinic/Center | 106 Highway West, Eminence, MO 65466 | 2008-04-23 |
1194837187 | Sherry K Foster | Licensed Practical Nurse | 209 Main St., Eminence, MO 65466 | 2006-08-31 |
1356343826 | Joseph Chester Francis Camire | Family Medicine | 17959 Main Street, Eminence, MO 65466 | 2005-08-12 |
1073951273 | Mercy St Francis Hospital | Clinic/Center | Highway 19 South, Eminence, MO 65466 | 2013-06-10 |
1366749764 | Susan M Norris | Nurse Practitioner | 17959 Main Street, Eminence, MO 65466 | 2011-02-21 |
1396871745 | Mercy Clinic-springfield Communities | Family Medicine | Highway 19 South, Eminence, MO 65466 | 2007-02-27 |
1902983075 | Dale E. Haverstick | Family Medicine | Highway 19 South, Eminence, MO 65466 | 2006-11-01 |
1972606895 | Big Springs Medical Association | Clinic/Center | 17959 Main Street, Eminence, MO 65466 | 2006-09-06 |
Find all providers in zip 65466 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790815405 | Shannon County Health Center | In Home Supportive Care | 18018 Grey Jones Drive, Eminence, MO 65466 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306732 | New Life In Home Services, LLC | In Home Supportive Care | 119 Church St Ste 220, Ferguson, MO 63135-2460 | 2020-11-06 |
1609477173 | Contrive Home Care Solutions LLC | In Home Supportive Care | 2839 Monroe Ave, Kansas City, MO 64128-1494 | 2020-11-02 |
1134729015 | Nurturing Family Home Healthcare LLC | In Home Supportive Care | 805 5th Plz, Florissant, MO 63031-1820 | 2020-10-29 |
1861092843 | Jerome Care, LLC | In Home Supportive Care | 517 Se 2nd St Ste B, Lees Summit, MO 64063-2629 | 2020-10-28 |
1073112868 | Kb Cds Health Services | In Home Supportive Care | 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 | 2020-10-22 |
1285233536 | Hoping Hands Homecare LLC | In Home Supportive Care | 5046 Ridge Ave, Saint Louis, MO 63113-1404 | 2020-10-19 |
1013516442 | So Awesome Health Services LLC | In Home Supportive Care | 1517 Galway Ct, Liberty, MO 64068-3392 | 2020-10-16 |
1790383024 | Angel Home Care LLC | In Home Supportive Care | 324 Se Canter Cir, Lees Summit, MO 64082-8218 | 2020-10-09 |
1326645946 | Life Enhancements Home Health Care, LLC | In Home Supportive Care | 119 Church St Ste 224, Ferguson, MO 63135-2442 | 2020-10-06 |
1437766821 | Altrua Personal Care LLC | In Home Supportive Care | 1906 Ne Knollbrook St, Lees Summit, MO 64086-3457 | 2020-09-29 |
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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.