SUNLAKES PHYSICAL THERAPY (NPI# 1306115886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306115886 |
| Entity Type | Organization |
| Organization Name | SUNLAKES PHYSICAL THERAPY |
| Practice Address |
1600 S Hickory St Mount Vernon MO 65712-2045 |
| Mailing Address |
Po Box 383 Warsaw MO 65355-0383 |
| Practice Telephone | 4174667103 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | ROBERT CHAPMAN (COMPANY OWNER) |
| Authorized Official Telephone | 8003853978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1600 S HICKORY ST |
| City | MOUNT VERNON |
| State | MO |
| Zip Code | 65712-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982813341 | Missouri Veterans Commission | Skilled Nursing Facility | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2007-05-22 |
| 1225649056 | Kelsey Jo Garbee | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2020-08-14 |
| 1922542638 | Nicole Bowers | Occupational Therapist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2016-12-14 |
| 1629420369 | Ethan Kristek | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2016-07-06 |
| 1639570740 | Billie Knipfer | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2014-09-08 |
| 1861834699 | Derek Curtis | Residential Treatment Facility, Physical Disabilities | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2013-07-22 |
| 1033472956 | Linda Collier | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2012-06-18 |
| 1922377407 | Andrew Minardi | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2011-12-29 |
| 1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
| 1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
| 1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
| 1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
| 1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
| 1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
| 1477567030 | Ricky Lavaughn Kime | Internal Medicine | 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 | 2006-07-28 |
| 1306144506 | James Neal Greene | Internal Medicine | 1259 Pine Dr, Mount Vernon, MO 65712-0145 | 2011-03-11 |
| Find all providers in zip 65712 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056491 | Als Mount Vernon Inc | Skilled Nursing Facility | 1135 Gambier Rd, Mount Vernon, OH 43050-3839 | 2017-07-19 |
| 1679029110 | Tameka Bremmer | Skilled Nursing Facility | 171 W Kingsbridge Rd, 3rd Fl, Mount Vernon, NY 10550-4831 | 2016-08-25 |
| 1982813341 | Missouri Veterans Commission | Skilled Nursing Facility | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2007-05-22 |
| 1689795379 | Ssc Mount Vernon Operating Company LLC | Skilled Nursing Facility | 1001 S 34th St, Mount Vernon, IL 62864-6232 | 2007-04-02 |
| 1437214970 | Mira Vista Corporation | Skilled Nursing Facility | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2006-12-26 |
| 1598831869 | Mount Vernon Elderly Services LLC | Skilled Nursing Facility | 1350 Yauger Rd, Mount Vernon, OH 43050-9233 | 2006-11-28 |
| 1053483818 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620-9301 | 2006-11-15 |
| 1841374238 | Mt Vernon Nursing Home Inc | Skilled Nursing Facility | 501 Yates St, Mount Vernon, TX 75457-3233 | 2006-10-24 |
| 1558301812 | Tandem Health Care of Mt. Vernon, Inc. | Skilled Nursing Facility | 416 Wooster Rd, Mount Vernon, OH 43050-1216 | 2006-06-07 |
| 1861440174 | Westchester Center for Rehabilitation and Nursing | Skilled Nursing Facility | 10 Claremont Ave, Mount Vernon, NY 10550-1609 | 2006-05-05 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 65712 |
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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.