STATE OF MISSOURI (NPI# 1316017056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316017056 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSOURI |
| Other Organization Name | SIKESTON REGIONAL CENTER |
| Practice Address |
112 Plaza Dr Sikeston MO 63801-5137 |
| Mailing Address |
1706 E Elm St Jefferson City MO 65101-4130 |
| Practice Telephone | 5734725300 |
| Practice Fax Number | 5734725308 |
| Mailing Telephone | 5737513398 |
| Mailing Fax Number | 5735264560 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 5737514055 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MISSOURI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | EXEMPT | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 151793205 | 05 |
| Other Name | Type Code |
|---|---|
| Sikeston Regional Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781499 | State of Missouri | Rehabilitation Counselor | 3418 Knipp Dr, Jefferson City, MO 65109-5701 | 2020-02-07 |
| 1275073280 | State of Missouri | General Practice | 1547 W Commerce Drive, Marshall, MO 65340-3907 | 2017-02-24 |
| 1528333085 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N Colorado St, Nevada, MO 64772-1618 | 2012-03-16 |
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1922207679 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5410 Rinker Rd, Kansas City, MO 64129-2308 | 2007-07-13 |
| 1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1366503153 | State of Missouri | Day Training, Developmentally Disabled Services | 471 E Slater St, Marshall, MO 65340 | 2006-12-13 |
| 1427118033 | State of Missouri | Day Training, Developmentally Disabled Services | 522 Star St, Marshall, MO 65340 | 2006-12-12 |
| Street Address |
112 PLAZA DR |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598844029 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 112 Plaza Dr, Sikeston, MO 63801-5137 | 2006-11-03 |
| 1528348430 | State of Missouri | Emergency Medicine | 112 Plaza Dr, Sikeston, MO 63801-5137 | 2011-08-23 |
| 1457486870 | Miles C Reece IIi | Emergency Medicine | 112 Plaza Dr, Sikeston, MO 63801-5137 | 2007-02-23 |
| 1043386014 | State of Missouri | Day Training, Developmentally Disabled Services | 112 Plaza Dr, Sikeston, MO 63801-5137 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306124847 | Catholic Charities of Southern Missouri | Case Management | 205 W Malone Ave Ste B, Sikeston, MO 63801-2826 | 2011-08-02 |
| 1003291287 | Heartland Resource Council | Case Management | 205 N New Madrid St, Sikeston, MO 63801-4142 | 2015-07-29 |
| 1053445585 | Bootheel Counseling Services | Case Management | 760 Plantation Blvd, Sikeston, MO 63801-5736 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157644 | Kristin Keppler | Case Management | 221 Olga St, Saint James, MO 65559-1819 | 2020-09-03 |
| 1164036638 | Rebecca Jane Krewson | Case Management | 15183 Highway C, Lenox, MO 65541-9316 | 2020-09-02 |
| 1104440072 | Beyond Vision Mental Health Inc | Case Management | 140 Long Rd Ste 123, Chesterfield, MO 63005-1282 | 2020-06-05 |
| 1003446535 | Lana Smith | Case Management | 6710 N Bellefontaine Ave, Kansas City, MO 64119-1184 | 2020-01-23 |
| 1417501263 | Black Health Care Coalition | Case Management | 6400 Independence Ave, Kansas City, MO 64125-1545 | 2019-07-30 |
| 1386122497 | D&n Services Unlimited | Case Management | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2018-07-31 |
| 1689164980 | Diversity Placement Services, Inc. | Case Management | 905b E Langsford Rd Ste B, Lees Summit, MO 64063-2969 | 2018-05-14 |
| 1205325131 | Restoration of Hope Project | Case Management | 1925 E Bennett St Ste H, Springfield, MO 65804-1425 | 2018-05-07 |
| 1457855918 | Reynolds County Sheltered Workshop, Inc. | Case Management | 133 Highway 72 E, Bunker, MO 63629-8196 | 2018-03-20 |
| 1952800427 | The Community Counseling & Housing Services | Case Management | 10069 Tappan Dr, Saint Louis, MO 63137-2049 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
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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.