WILLIAM EADIE RESIDENTIAL SERVICES, INC. (NPI# 1255477329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255477329 |
| Entity Type | Organization |
| Organization Name | WILLIAM EADIE RESIDENTIAL SERVICES, INC. |
| Other Organization Name | CARE |
| Practice Address |
500 Opal St Afton IA 50830-1078 |
| Practice Telephone | 6413475611 |
| Practice Fax Number | 6413475038 |
| Mailing Telephone | 6413475611 |
| Mailing Fax Number | 6413475038 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MRS. JEAN M ROMMES (PRESIDENT) |
| Authorized Official Telephone | 64178288495 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | R-880682 & R-880 | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0233528 | 05 | |
| IA | 0463406 | 05 | |
| IA | 0895482 | 05 |
| Other Name | Type Code |
|---|---|
| CARE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | WILLIAM EADIE RESIDENTIAL SERVICES, INC. | Po Box 216, Creston, IA 50801 |
| Street Address |
500 OPAL ST |
| City | AFTON |
| State | IA |
| Zip Code | 50830-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891737250 | Afton Care Center Inc | Skilled Nursing Facility | 508 W Pearl St, Afton, IA 50830-1057 | 2006-06-11 |
| 1265756076 | New Horizons-family Enhancement Center | Community/Behavioral Health | 220 N Douglas St, Afton, IA 50830-7723 | 2010-03-23 |
| 1568835494 | East Union Community School District | Local Education Agency (LEA) | 1916 High School Dr, Afton, IA 50830-8000 | 2015-10-30 |
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| 1639780935 | Mika Danette Riddle | Peer Specialist | 447254 E 240 Rd, Afton, OK 74331-8096 | 2020-08-11 |
| 1528682549 | Kaitlin Mcgrath | Physical Therapist | 10950 Rockfish Valley Hwy Ste B, Afton, VA 22920-2858 | 2020-06-05 |
| 1497394068 | Star Valley Dental 1 LLC | Clinic/Center | 725 N Washington St, Afton, WY 83110-1390 | 2019-12-31 |
| 1346884855 | Dragonfly Medical Transport LLC | Non-emergency Medical Transport (VAN) | 2856 Afton Mountain Rd, Afton, VA 22920-2209 | 2019-10-29 |
| 1790328300 | Joseph J Brennan | Nurse Practitioner | 575 State Highway 7, Afton, NY 13730-2109 | 2019-10-26 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1578114575 | Tena Kennon | Technician | 54301 East 250 Road, Afton, OK 74331 | 2019-09-23 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770082042 | Breakthrough Counseling Services | Community/Behavioral Health | 3530 Highway 241, Afton, WY 83110-9758 | 2018-02-01 |
| 1376920660 | Dayspring Community Services | Community/Behavioral Health | 3 Southeast 1st St, Afton, OK 74331 | 2015-05-06 |
| 1265756076 | New Horizons-family Enhancement Center | Community/Behavioral Health | 220 N Douglas St, Afton, IA 50830-7723 | 2010-03-23 |
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| 1982245403 | Unique Affinity Dynamics, LLC | Community/Behavioral Health | 200 W Cleveland St, Olin, IA 52320-9523 | 2019-10-06 |
| 1417507872 | Jason Smith Assessment and Counseling Associates | Community/Behavioral Health | 950 Office Park Rd Ste 235, West Des Moines, IA 50265-2121 | 2019-09-18 |
| 1750945135 | Basurto Behavioral Health, LLC | Community/Behavioral Health | 3316 Cedar Heights Dr Ste A, Cedar Falls, IA 50613-6083 | 2019-05-01 |
| 1730640830 | Hope Community Living of Iowa,inc. | Community/Behavioral Health | 3702 162nd St, Urbandale, IA 50323-2582 | 2019-03-29 |
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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.