LAKESHORES RESIDENTIAL CARE FACILITY (NPI# 1215055371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215055371 |
| Entity Type | Organization |
| Organization Name | LAKESHORES RESIDENTIAL CARE FACILITY |
| Practice Address |
27 Hopper Trl Urbana MO 65767-9234 |
| Mailing Address |
Po Box 385 Preston MO 65732-0385 |
| Practice Telephone | 4177224416 |
| Practice Fax Number | 4177224417 |
| Mailing Telephone | 4177224166 |
| Mailing Fax Number | 4177224417 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | MISS SANDRA RUTHERFORD (MANAGER) |
| Authorized Official Telephone | 4177224416 |
| 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 | Residential Treatment Facilities |
| Street Address |
27 HOPPER TRL |
| City | URBANA |
| State | MO |
| Zip Code | 65767-9234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871638999 | Evergreen Group Home, LLC | Counselor | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-02-20 |
| 1841452109 | Evergreen Group Home | Intermediate Care Facility, Mentally Retarded | 27 Hopper Trl, Urbana, MO 65767-9234 | 2008-06-27 |
| 1093977365 | Applewood Lane Corporation | Intermediate Care Facility, Mentally Retarded | 27 Hopper Trl, Urbana, MO 65767-9234 | 2008-06-27 |
| 1750408365 | Applewood In-home Health | Nursing Care | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-26 |
| 1407973597 | Applewood In-home Health | Home Health | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-23 |
| 1447375084 | Pineview Group Home | Intermediate Care Facility, Mental Illness | 27 Hopper Trl, Urbana, MO 65767-9234 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839986 | Judith A Taylor | Family Medicine | 311 W Broadway, Urbana, MO 65767 | 2006-02-08 |
| 1467070227 | Kimberly Renee Choate | Social Worker | 111 Main St, Urbana, MO 65767 | 2020-07-08 |
| 1073838199 | A New Hope Hospice | Hospice Care, Community Based | 16 Pleasant Ridge Dr, Urbana, MO 65767-8121 | 2010-03-31 |
| 1528021565 | Urbana Medical Clinic, L.L.C. | Family Medicine | 311 W Broadway St, Urbana, MO 65767-9101 | 2006-04-10 |
| 1760731053 | Christian Home Care LLC | In Home Supportive Care | 311 W Broadway St, Urbana, MO 65767-9101 | 2012-09-03 |
| 1487024667 | Ozarks Resource Group | Clinic/Center | 111 N Main St, Urbana, MO 65767-9152 | 2015-10-01 |
| 1699808279 | Car Dieus Enterprises | Day Training, Developmentally Disabled Services | 211 N Main St, Urbana, MO 65767-9164 | 2007-03-13 |
| 1609333624 | Urbana Rest Home | Community Based Residential Treatment Facility, Mental Illness | 310 Walnut St, Urbana, MO 65767-9208 | 2019-02-26 |
| 1548734957 | Marion Lynn Bailey | Community Based Residential Treatment Facility, Mental Illness | 310 Walnut St, Urbana, MO 65767-9208 | 2019-01-18 |
| 1033234919 | Beacon Hill Group Home | Intermediate Care Facility, Mental Illness | 399 State Road Bb, Urbana, MO 65767-9253 | 2007-03-20 |
| Find all providers in zip 65767 | ||||
| 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 |
|---|---|---|---|---|
| 1861631426 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 400 Oakland Street, Urbana, OH 43078 | 2009-02-05 |
| 1649418252 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 124 Hill Street, Urbana, OH 43078 | 2009-02-04 |
| 1295973824 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 334 Scioto Street, Urbana, OH 43078 | 2009-02-04 |
| 1609014224 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2380 St. Rt. 68 South, Urbana, OH 43078 | 2009-02-04 |
| 1437397031 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 809 South High Street, Urbana, OH 43078 | 2009-02-04 |
| 1033264619 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1150 Scioto St, Suite 100, Urbana, OH 43078-2289 | 2007-01-24 |
| 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.