PEACHS, INC (NPI# 1124550363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124550363 |
Entity Type | Organization |
Organization Name | PEACHS, INC |
Practice Address |
301 Watts St Park Hills MO 63601-1839 |
Practice Telephone | 5737475577 |
Mailing Telephone | 5737475577 |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-03-28 |
Authorized Official Name | RODNEY PRICE (OWNER) |
Authorized Official Telephone | 5737475577 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
045034 | MO | Nursing & Custodial Care Facilities |
Street Address |
301 WATTS ST |
City | PARK HILLS |
State | MO |
Zip Code | 63601-1839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013564491 | Lbenholdings | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 301 Watts St, Park Hills, MO 63601-1839 | 2019-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134611510 | Angela Dawn Ibaviosa | Pharmacist | Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO 63601 | 2018-06-01 |
1881101376 | Julie Brischle | Dietitian, Registered | 1025 W. Main Street, P.o. Box 367, Park Hills, MO 63601 | 2018-01-05 |
1962810770 | Anns Place | Assisted Living Facility | 351 Keith Street, Park Hills, MO 63601 | 2014-07-24 |
1770995474 | Richard Barton | Physical Therapist | 1301 N. Saint Joe Dr., Park Hills, MO 63601 | 2014-05-29 |
1871927350 | Marcella Darlynn Williams | Occupational Therapist | 800 Brim Street, Desloge, MO 63601 | 2013-09-03 |
1356773287 | Mckenzie Lee Kaughman | Occupational Therapy Assistant | 801 Brim Street, Desloge, MO 63601 | 2013-08-02 |
1720292022 | Dwayne Patrick Smith | Physical Therapy Assistant | 1103 Koen Creek Ct. Apt. A, Park Hills, MO 63601 | 2007-05-09 |
1710078324 | Martha A Mcmurry | Counselor | 512 East Main St., Park Hills, MO 63601 | 2006-09-27 |
1083184667 | Scarlet Barron | General Practice | 223 W. Main St., Park Hills, MO 63601 | 2018-11-27 |
1104175090 | Jon Lee Clauser | Physical Therapy Assistant | 801 Brim St, Deslodge, MO 63601 | 2012-09-06 |
Find all providers in zip 63601 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
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1497356919 | Cardinal Ritter Institute-resident Services Corp | Assisted Living Facility | 5890 Eichelberger St, Saint Louis, MO 63109-3454 | 2020-11-02 |
1831798214 | Smith Care Residential, LLC | Assisted Living Facility | 130 W Culton St, Warrensburg, MO 64093-1720 | 2020-10-18 |
1063010890 | Mitchell's Care Center LLC | Assisted Living Facility | 1134 W Norton Rd, Springfield, MO 65803-1070 | 2020-10-14 |
1982201935 | J & J Assisted Living LLC | Assisted Living Facility | 104 Wesbecher Ln, Marble Hill, MO 63764 | 2020-10-02 |
1144862350 | Humble Abode Residence | Assisted Living Facility | 18 S Duchesne Dr, Florissant, MO 63031-8112 | 2019-10-09 |
1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
1790343804 | Calvin Akins | Assisted Living Facility | 4432 W Belle Pl, Saint Louis, MO 63108-2617 | 2019-06-04 |
1245893296 | Michele Vinson Investments LLC Dba Bolivar Manor House | Assisted Living Facility | 404 E Broadway St, Bolivar, MO 65613-2019 | 2019-04-16 |
1073079091 | Homes That Care Co. | Assisted Living Facility | 4144 Lindell Blvd Ste 312, Saint Louis, MO 63108-2953 | 2019-02-14 |
1609387240 | Tammy Michelle Stone | Assisted Living Facility | 431 Ne County Road 10564, Adrian, MO 64720-5111 | 2017-10-23 |
Find all providers with the same taxonomy |
City | PARK HILLS |
Zip Code | 63601 |
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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.