KELLEY L YEOKUM (NPI# 1104967637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104967637 |
| Entity Type | Organization |
| Organization Name | KELLEY L YEOKUM |
| Practice Address |
27421 S State Route 2 Freeman MO 64746-7102 |
| Practice Telephone | 8162502398 |
| Practice Fax Number | 8162502398 |
| Mailing Telephone | 8162502398 |
| Mailing Fax Number | 8162502398 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MRS. KELLEY LYNN YEOKUM (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8164197106 |
| Authorized Official Credential | MSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 62819415 | MO | Residential Treatment Facilities |
| Street Address |
27421 S STATE ROUTE 2 |
| City | FREEMAN |
| State | MO |
| Zip Code | 64746-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632157 | Keith Stradford | Adult Companion | 1340 County Pond Rd, Freeman, VA 23856-2604 | 2020-02-26 |
| 1881247161 | Caring Hearts Home Care Services LLC | Case Manager/Care Coordinator | 1569 Glendale Mill Rd, Freeman, VA 23856-2447 | 2019-07-16 |
| 1982967451 | Dustin Charles Randall | Nurse Practitioner | 804 S. Walnut Street, Freeman, SD 57029 | 2012-06-20 |
| 1811141815 | Main Street Pharmacy I Corp | Pharmacy | 389 S Main St, Freeman, SD 57029-2337 | 2008-11-05 |
| 1447402664 | Jessica Michelle Vannorsdel | Speech-Language Pathologist | 28457 Us Highway 81, Freeman, SD 57029-6720 | 2008-10-21 |
| 1851559074 | Jennifer Louise Schultz | Speech-Language Pathologist | 43740 Us Highway 18, Freeman, SD 57029-7301 | 2008-05-23 |
| 1881732675 | Thomas Oneal Ulmer | Chiropractor | 1116 South County Rd, Freeman, SD 57029 | 2007-02-02 |
| 1790835015 | Jason Aanenson, Dds, PC | Dentist | 105 E. 5th Street, Freeman, SD 57029 | 2007-01-11 |
| 1952473720 | Jason Wayne Aanenson | Dentist | 105 E. 5th St., Freeman, SD 57029-0219 | 2006-11-15 |
| 1235223942 | Salem Mennonite Home for The Aged | Assisted Living Facility | 106 W. 7th Street, Freeman, SD 57029-2319 | 2006-10-03 |
| Find all providers in FREEMAN | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| 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.