ESCAPE A&D, LLC (NPI# 1235304098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235304098 |
| Entity Type | Organization |
| Organization Name | ESCAPE A&D, LLC |
| Other Organization Name | ESCAPE OUTPATIENT CHEMICAL DEPENDENCY COUNSELING CENTER |
| Practice Address |
501 N Ault St Moberly MO 65270-2506 |
| Practice Telephone | 6602637552 |
| Practice Fax Number | 6602636593 |
| Mailing Telephone | 6602637552 |
| Mailing Fax Number | 6602636593 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MR. JERRY SCOTT EAMES (CEO PRIMARY THERAPIST) |
| Authorized Official Telephone | 6602637552 |
| Authorized Official Credential | MS MAC CASAC CCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 1253-10266 | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MO STATE CERTIFIED SUBSTANCE ABUSE TRAFFIC OFFENDER PROGRAMS | SATOP 066 | 01 |
| MO | MISSOURI DEPARTMENT OF SOCIAL SERVICES, CHILDRENS DIVISION | VENDOR 000613401 | 01 |
| MO | MO STATE CERTIFIED INTENMSIVE OUTPATIENT ALCOHOL & DRUG REHABILI | 1253-10266 | 01 |
| THE INTERNATIONAL CERTIFICATION & RECIPROCITY CONSORTIUM / A & D | ICAADC 597 | 01 | |
| NATIONAL ASSOCIATION OF ALCOHOL & DRUG ABUSE COUNSELORS | MAC 501662 | 01 | |
| MO | MO STATE CERTIFIED REQUIRED EDUCATIONAL ASSESSMENT AND COMMUNITY | REACT R-319 | 01 |
| MO | MISSOURI SUBSTANCE ABUSE PROFESSIONAL CREDENTIALING BOARD | CASAC 542 | 01 |
| AMERICAN COLLEGE OF CERTIFIED FORENSIC COUNSELORS | CCCJS A11182 | 01 |
| Other Name | Type Code |
|---|---|
| ESCAPE Outpatient Chemical Dependency Counseling Center | Former Legal Business Name - Organization |
| Street Address |
501 N AULT ST |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033304019 | Jerry Scott Eames | Counselor | 501 N Ault St, Moberly, MO 65270-2506 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548446933 | Randolph County Health Department | Public Health or Welfare | 423 E. Logan St., Moberly, MO 65270-2222 | 2008-01-15 |
| 1194990713 | Randolph County Health Department | Public Health or Welfare | 1319 E Highway 24, Moberly, MO 65270-3682 | 2008-04-24 |
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| 1598208746 | Burnett Body Mechanics LLC | Public Health or Welfare | 1948e S Glenstone Ave, Suite 105, Springfield, MO 65804-2364 | 2016-11-21 |
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| 1083088439 | Disability Determinations | Public Health or Welfare | 7545 S Lindbergh Blvd, 220, Saint Louis, MO 63125-4843 | 2015-11-23 |
| 1700203734 | Kansas City Quality Improvement Consortium Inc | Public Health or Welfare | 6000 N Oak Trfy Ste 300, Kansas City, MO 64118-5175 | 2014-03-27 |
| 1255763785 | Tri-county Counseling Services, Inc. | Public Health or Welfare | 701 Vandiver Dr, Columbia, MO 65202-2094 | 2013-08-07 |
| 1679913982 | Rex Consulting Group, Lc | Public Health or Welfare | 10505 E 64th Ter, Raytown, MO 64133-5312 | 2013-07-01 |
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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.