FOUR COUNTY MENTAL HEALTH CENTER, INC. (NPI# 1386957736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386957736 |
| Entity Type | Organization |
| Organization Name | FOUR COUNTY MENTAL HEALTH CENTER, INC. |
| Other Organization Name | ACTIVE PARTNERS HOME HEALTH CARE |
| Practice Address |
415 Fruitland Ave Independence KS 67301-8592 |
| Mailing Address |
Po Box 688 Independence KS 67301-0688 |
| Practice Telephone | 6203328586 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | JODI HAYSE (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 6203311748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | A-103003 | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100097980Y | 05 | |
| MEDICARE PTAN | 17-7176 | 01 |
| Other Name | Type Code |
|---|---|
| Active Partners Home Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033288535 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-11-07 |
| 1396825782 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
| 1598845984 | Four County Mental Health Center, Inc. | Clinic/Center | 3751 W Main St, Independence, KS 67301-8446 | 2006-10-17 |
| Street Address |
415 FRUITLAND AVE |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-8592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1366922593 | Blessed By Beauty Home Health Care LLC | Home Health | 3111 S Cedar Crest Ct, Independence, MO 64057-1900 | 2018-08-16 |
| 1053897710 | Hussein A Abdirahman | Home Health | 5005 Rockside Rd Ste 600-140, Independence, OH 44131-2194 | 2018-07-16 |
| 1851887434 | Jamison Hc Agency LLC | Home Health | 7324 Valley View Dr, Independence, OH 44131-3428 | 2018-07-06 |
| 1063958809 | Alpha Care Home Health LLC | Home Health | 14825 E 42nd St S Ste 120, Independence, MO 64055-4799 | 2017-01-18 |
| 1841741949 | Ahh Cleveland Inc | Home Health | 6200 Oak Tree Blvd, Suite 150, Independence, OH 44131-6933 | 2016-10-24 |
| 1659610376 | Phoenix Home Care, Inc. | Home Health | 14330 E 42nd St S Ste K, Independence, MO 64055-7300 | 2013-02-01 |
| 1790053932 | American Homecare Management Corp. | Home Health | 20101 E Jackson Dr, Suite D, Independence, MO 64057-1956 | 2011-12-02 |
| 1356627269 | Nina Carmen Brock | Home Health | 593 Berlander Dr, Independence, KY 41051 | 2011-10-25 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
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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.