ROARK ISL (NPI# 1285057034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285057034 |
| Entity Type | Organization |
| Organization Name | ROARK ISL |
| Practice Address |
219 W 24th St Sedalia MO 65301-8303 |
| Mailing Address |
27880 Hackberry Dr Sedalia MO 65301-0561 |
| Practice Telephone | 6608260244 |
| Practice Fax Number | 6608294872 |
| Mailing Telephone | 6608260244 |
| Mailing Fax Number | 6608294872 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | LINDA K ROARK (OWNER) |
| Authorized Official Telephone | 6608260244 |
| 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 | CC1-0207-0413 | MO | Residential Treatment Facilities |
| Street Address |
219 W 24TH ST |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154452563 | Roark I.s.l. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 219 W 24th St, Sedalia, MO 65301-8303 | 2007-03-08 |
| 1154747251 | Linda K Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 219 W 24th St, Sedalia, MO 65301-8303 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| 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 |
|---|---|---|---|---|
| 1730468901 | Tomlonson Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 846 Mitchell Rd, Sedalia, MO 65301-2120 | 2011-08-05 |
| 1437338282 | Tomlonson Group Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Dundee Ave, Sedalia, MO 65301-2337 | 2007-10-29 |
| 1306960133 | Children's Therapy Center of Pettis County, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 E Walnut St, Sedalia, MO 65301-3243 | 2007-03-19 |
| 1669596490 | Children's Therapy Center of Pettis County, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 29320 Highway U, Sedalia, MO 65301-1332 | 2007-03-19 |
| 1942324777 | Children's Therapy Center of Pettis County, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1124 Crescent Dr, Sedalia, MO 65301-6351 | 2007-03-19 |
| 1841314671 | Children's Therapy Center of Pettis County, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1815 S Brown Ave, Sedalia, MO 65301-7753 | 2007-03-19 |
| 1033233861 | Children's Therapy Center of Pettis County, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1310 S Missouri Ave, Sedalia, MO 65301-5582 | 2007-03-19 |
| 1780734996 | Martin Group Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3801 S Grand Ave, Sedalia, MO 65301-8705 | 2007-01-11 |
| 1457425316 | Hanger Prosthetics & Orthotics East, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3405 W 10th St, Sedalia, MO 65301-2112 | 2006-11-20 |
| 1154747251 | Linda K Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 219 W 24th St, Sedalia, MO 65301-8303 | 2014-03-13 |
| Find all providers in SEDALIA | ||||
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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.