BOONE COUNTY FAMILY RESOURCES (NPI# 1255451571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255451571 |
Entity Type | Organization |
Organization Name | BOONE COUNTY FAMILY RESOURCES |
Practice Address |
1209 E Walnut St Columbia MO 65201-4944 |
Practice Telephone | 5738741995 |
Mailing Telephone | 5738741995 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | LES WAGNER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5738741995 |
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 | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386784957 | Boone County Family Resources | Community/Behavioral Health | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-02-06 |
1780972257 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2011-07-18 |
1760502140 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-03-30 |
1053430843 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-03-29 |
1114045150 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-03-27 |
1831239383 | Boone County Family Resources | Case Management | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-02-07 |
1124167713 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-02-06 |
Street Address |
1209 E WALNUT ST |
City | COLUMBIA |
State | MO |
Zip Code | 65201-4944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386784957 | Boone County Family Resources | Community/Behavioral Health | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-02-06 |
1780972257 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2011-07-18 |
1760502140 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-03-30 |
1053430843 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-03-29 |
1114045150 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-03-27 |
1831239383 | Boone County Family Resources | Case Management | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-02-07 |
1124167713 | Boone County Family Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1209 E Walnut St, Columbia, MO 65201-4944 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
Find all providers in zip 65201 |
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 |
---|---|---|---|---|
1285257816 | The Behavior Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Cardington Ct, Columbia, SC 29209-3241 | 2020-05-18 |
1891213690 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 46 Koeck Rd, Columbia, NJ 07832-2007 | 2017-09-01 |
1124561907 | Eric Vahle | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3611 Wakefield Dr, Columbia, MO 65203-4462 | 2016-11-28 |
1104201540 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 288 Route 94, Columbia, NJ 07832 | 2015-07-28 |
1952781866 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Route 94, Columbia, NJ 07832-2771 | 2015-06-05 |
1699076711 | Independent Living Concepts, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2704 Andy Dr, Columbia, MO 65202-2012 | 2010-11-05 |
1699082743 | Fidelis Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3905 Faurot Dr, Columbia, MO 65203-0309 | 2010-09-10 |
1801121397 | Integrated Lifestyles LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 Bourn Ave, Columbia, MO 65203-1459 | 2009-10-16 |
1922243955 | Robert Verdell Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Edmonds Ct, Columbia, MO 65203-8465 | 2008-12-04 |
1992970107 | Florence Denise Rainey Hicks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 Lambeth Dr, Columbia, MO 65202-2462 | 2008-04-29 |
Find all providers in COLUMBIA |
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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.