COUNCIL OF CHURCHES OF THE OZARKS (NPI# 1174862577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174862577 |
| Entity Type | Organization |
| Organization Name | COUNCIL OF CHURCHES OF THE OZARKS |
| Other Organization Name | DAYBREAK ADULT DAY CARE / ELDERCARE TRANSIT SERVICE |
| Practice Address |
1461 E Seminole St Springfield MO 65804-2431 |
| Mailing Address |
Po Box 3947 Springfield MO 65808-3947 |
| Practice Telephone | 4178810133 |
| Practice Fax Number | 4178823739 |
| Mailing Telephone | 4178623586 |
| Mailing Fax Number | 4178622129 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-14 |
| Authorized Official Name | MR. MARK WILLIAM STRUCKHOFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4178623586 |
| Authorized Official Credential | REV. |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNCIL OF CHURCHES OF THE OZARKS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | U182232013 | MO | Transportation Services |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
1063 | MO | Respite Care Facility |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
ER019913016 | MO | Ambulatory Health Care Facilities |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ER019913016 | MO | Residential Treatment Facilities |
| N | 343800000X | Secured Medical Transport (VAN) | U182232013 | MO | Transportation Services |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1063 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 291869501 | 05 |
| Other Name | Type Code |
|---|---|
| Daybreak Adult Day Care / Eldercare Transit Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962527689 | Council of Churches of The Ozarks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1461 E Seminole St, Springfield, MO 65804-2431 | 2007-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNCIL OF CHURCHES OF THE OZARKS | 627 N Glenstone Ave, Springfield, MO 65802-2115 |
| Street Address |
1461 E SEMINOLE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962527689 | Council of Churches of The Ozarks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1461 E Seminole St, Springfield, MO 65804-2431 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346617602 | Cambridge Adult Day Center Springfield | Clinic/Center | 2221 E Kearney St, Springfield, MO 65803-4987 | 2015-08-21 |
| 1710323407 | Community Adult Care | Clinic/Center | 5514 Alma Ln Ste 100, Springfield, VA 22151-4014 | 2013-05-21 |
| 1194873679 | Seniority Social & Adult Day Care, Inc. | Clinic/Center | 16 Arnold Ave, Springfield, MA 01119-1406 | 2007-01-08 |
| 1659445856 | Ketch Cares, Inc. | Clinic/Center | 3729 N State Highway H, Springfield, MO 65803-7137 | 2006-11-20 |
| 1902413032 | 2nd Home Springfield LLC | Clinic/Center | 40 Stern Ave, Springfield, NJ 07081-2905 | 2020-09-23 |
| 1306483615 | Adult Day Health, Inc. | Clinic/Center | 99 Guion St, Springfield, MA 01104-3001 | 2019-12-05 |
| 1336569193 | Center for Human Development, Inc | Clinic/Center | 332 Birnie Ave, Springfield, MA 01107-1104 | 2014-04-21 |
| 1053521518 | Serenity Care Adult Day Health | Clinic/Center | 604 Cottage St, Springfield, MA 01104-4200 | 2007-05-23 |
| 1083787139 | Developmental Center of The Ozarks | Clinic/Center | 1545 E Pythian St, Springfield, MO 65802-2139 | 2006-11-16 |
| 1285705871 | Developmental Center of The Ozarks | Clinic/Center | 1545 E Pythian St, Springfield, MO 65802-2139 | 2006-11-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on COUNCIL OF CHURCHES OF THE OZARKS.
| 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.