EUSTASIS FOUNDATION, INC (NPI# 1386257780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386257780 |
| Entity Type | Organization |
| Organization Name | EUSTASIS FOUNDATION, INC |
| Practice Address |
3100 S National Ave Ste 103 Springfield MO 65807-7347 |
| Mailing Address |
3600 S National Ave Springfield MO 65807-7311 |
| Practice Telephone | 4174276103 |
| Practice Fax Number | 4173501935 |
| Mailing Telephone | 4173226622 |
| Mailing Fax Number | 4173501935 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | ALISHA BREANNA JAIN (PRESIDENT) |
| Authorized Official Telephone | 4173226622 |
| Authorized Official Credential | PMHNP-BC, CARN-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EUSTASIS FOUNDATION, INC | 3600 S National Ave, Springfield, MO 65807-7311 |
| Street Address |
3100 S NATIONAL AVE STE 103 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770773459 | Joann Mcguire | Psychologist | 3100 S National Ave Ste 103, Springfield, MO 65807-7347 | 2007-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750736021 | Recovery Chapel | Voluntary or Charitable | 217 W Bennett St, Springfield, MO 65807-1437 | 2016-04-25 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1750410437 | Recovery Chapel | Voluntary or Charitable | 3025 E Avalon Dr, Springfield, MO 65804-4109 | 2007-03-05 |
| 1730157264 | Elderly United of Springfield & Clark County Ohio, Inc. | Voluntary or Charitable | 101 S Fountain Ave, Springfield, OH 45502-1207 | 2006-03-10 |
| 1073881710 | The Kitchen, Inc | Voluntary or Charitable | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161212 | Isi Ministries | Voluntary or Charitable | 4219 Montgall Ave, Kansas City, MO 64130-1318 | 2019-02-22 |
| 1588170393 | Rebuilding Together Kansas City | Voluntary or Charitable | 2050 Plumbers Way Ste 150, Liberty, MO 64068-7458 | 2017-12-18 |
| 1316450844 | Angeleyes Maternity Home | Voluntary or Charitable | 6046 Swope Pkwy, Kansas City, MO 64130-4443 | 2017-11-07 |
| 1619414471 | Heartland Health Events Inc | Voluntary or Charitable | 200 W Columbia St, Farmington, MO 63640-1705 | 2017-01-31 |
| 1720523061 | Northwest Missouri Area Agency On Aging | Voluntary or Charitable | 504 E Us Highway 136, Albany, MO 64402-8202 | 2016-12-22 |
| 1932643871 | Central Missouri Area Agency On Aging | Voluntary or Charitable | 1121 Business Loop 70 E, Flr 2a, Columbia, MO 65201-4600 | 2016-12-12 |
| 1477903110 | Mid East Area Agency On Aging | Voluntary or Charitable | 14535 Manchester Rd, Ballwin, MO 63011-3960 | 2016-06-14 |
| 1114384542 | Mobile Health Global for Women | Voluntary or Charitable | 1503 Main St # 277, Grandview, MO 64030-2538 | 2016-01-14 |
| 1710358957 | St. Louis Society for The Blind | Voluntary or Charitable | 8770 Manchester Rd, Saint Louis, MO 63144-2724 | 2015-10-14 |
| 1942606876 | Aw Health Care Inc | Voluntary or Charitable | 7216 Balson Ave, Saint Louis, MO 63130-3001 | 2014-11-04 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on EUSTASIS FOUNDATION, INC.
| 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.