PREFERRED FAMILY HEALTHCARE (NPI# 1225416043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225416043 |
Entity Type | Organization |
Organization Name | PREFERRED FAMILY HEALTHCARE |
Practice Address |
2709 W 13th St Joplin MO 64801-3663 |
Mailing Address |
1111 S Glenstone Ave Suite 3-100 Springfield MO 65804-0338 |
Practice Telephone | 4176243077 |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |
Authorized Official Name | BONTIEA GOSS (COO) |
Authorized Official Telephone | 4178698911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | CC01430115 | MO | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
1497133243 | Preferred Family Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1212 E State Route 72, Suite 8, Rolla, MO 65401-3938 | 2015-05-13 |
1134507080 | Preferred Family Healthcare | Home Health | 429 E Walnut St, Nevada, MO 64772-2457 | 2015-05-12 |
1881072734 | Preferred Family Healthcare | Home Health | 317 S Madison Ave, Aurora, MO 65605-1568 | 2015-05-12 |
1730567751 | Preferred Family Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3105 Independence St, Suite B, Cape Girardeau, MO 63703-5042 | 2015-05-11 |
1407989304 | Preferred Family Healthcare | Clinic/Center | 210 Hoover St, Jefferson City, MO 65109-0800 | 2007-03-13 |
1134252034 | Preferred Family Healthcare | Clinic/Center | 113 N Rubey St, Macon, MO 63552-1634 | 2007-03-13 |
1316070212 | Preferred Family Healthcare | Clinic/Center | 137 W Cedar St, Kahoka, MO 63445-1699 | 2007-03-13 |
1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
1245363183 | Preferred Family Healthcare | Substance Abuse Rehabilitation Facility | 411 E Locust St, Union, MO 63084-1865 | 2007-03-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PREFERRED FAMILY HEALTHCARE, INCORPORATED | 900 E Laharpe, Kirksville, MO 63501-4520 |
Street Address |
2709 W 13TH ST |
City | JOPLIN |
State | MO |
Zip Code | 64801-3663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528083003 | Roger Harold Schoenfeld | Urology | 2709 W 13th St, Joplin, MO 64801-3663 | 2006-07-13 |
1053799791 | Preferred Family Healthcare | Home Health | 2709 W 13th St, Joplin, MO 64801-3663 | 2015-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
Find all providers in zip 64801 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
1609212596 | The Arc of The Ozarks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4722 E 32nd St, Joplin, MO 64804-4411 | 2013-05-17 |
1013106723 | Easy Living Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 N Range Line Rd Ste 202, Joplin, MO 64801-1600 | 2007-10-18 |
1427173434 | Skills Unlimited Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4215 Kentucky Ave, Joplin, MO 64804-4643 | 2007-03-20 |
1740292325 | Wilkinson Pharmacy, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1227 E 32nd, Suite 5, Joplin, MO 64804-2904 | 2006-08-12 |
1407239171 | Skillset LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2015-06-30 |
1952788671 | C | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 420 S Pearl Ave, Suite 5, Joplin, MO 64801-2541 | 2015-05-01 |
1487778155 | Jasper County Sheltered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
1306960075 | Jasper County Sheltered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
1477112092 | Gray Matters Alliance LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 W Pitman St, O Fallon, MO 63366-2819 | 2019-06-07 |
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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.