MRS. ERIN EGGEN (NPI# 1295123420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295123420 |
| Entity Type | Individual |
| Full Name | MRS. ERIN EGGEN |
| Credential | PTA |
| Practice Address |
1101 Clay Street Versailles MO 65084 |
| Mailing Address |
445 Kaylor Bridge Rd Centertown MO 65023-3623 |
| Practice Telephone | 5733785411 |
| Mailing Telephone | 5736194804 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
1101 CLAY STREET |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1649453408 | Kidwell Home | Assisted Living Facility | 1000 Kidwell Drive, Versailles, MO 65084 | 2007-12-14 |
| 1558480640 | Diana Moree Burdick | Nurse Practitioner | 102 North Fisher, Versailles, MO 65084 | 2007-03-28 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| 1447257571 | Susan Mary Burkhart | Family Medicine | 801 Kidwell Drive, St Mary's Clinic, Versailles, MO 65084 | 2005-07-05 |
| Find all providers in zip 65084 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982729604 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 6996 S Us 421, Versailles, IN 47042-9390 | 2007-03-20 |
| 1467612507 | Taylor Manor Inc. | Nursing Facility/Intermediate Care Facility | 300 Berry Ave, Versailles, KY 40383-1474 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
| 1316148026 | Jones Wildwood Care Center | Nursing Facility/Intermediate Care Facility | 12806 Highway 151, Madison, MO 65263-3114 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
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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.