PCRMC-HEALTH SERVICES, INC. (NPI# 1427185206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427185206 |
| Entity Type | Organization |
| Organization Name | PCRMC-HEALTH SERVICES, INC. |
| Other Organization Name | PHELPS HEALTH HOMECARE |
| Practice Address |
575a Blues Lake Pkwy Rolla MO 65401 |
| Mailing Address |
575a Blues Lake Pkwy Rolla MO 65401-8587 |
| Practice Telephone | 5733642425 |
| Practice Fax Number | 5733643993 |
| Mailing Telephone | 5733642425 |
| Mailing Fax Number | 5733643993 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | JANA COOK (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5734587916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
0004588 | MO | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 0004588 | MO | Nursing Service Providers |
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | 0004588 | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 263815508 | 05 |
| Other Name | Type Code |
|---|---|
| Phelps Health Homecare | Doing Business As Name - Organization |
| Phelps Regional Homecare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1202 Homelife Plz, Rolla, MO 654012512 | 5733642425 | 5733643993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304578 | Pcrmc-health Services, Inc. | Home Health | 575a Blues Lake Pkwy, Rolla, MO 65401-8587 | 2005-05-27 |
| 1699803973 | Pcrmc-health Services, Inc. | Chore Provider | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-03-01 |
| 1700913589 | Pcrmc-health Services, Inc. | Hospice Care, Community Based | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-02-27 |
| Street Address |
575A BLUES LAKE PKWY |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304578 | Pcrmc-health Services, Inc. | Home Health | 575a Blues Lake Pkwy, Rolla, MO 65401-8587 | 2005-05-27 |
| 1831736347 | Karissa Dawn Rowley | Physical Therapist | 575a Blues Lake Pkwy, Rolla, MO 65401-8587 | 2019-12-03 |
| 1699803973 | Pcrmc-health Services, Inc. | Chore Provider | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-03-01 |
| 1700913589 | Pcrmc-health Services, Inc. | Hospice Care, Community Based | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455314 | Ernest George | Home Health Aide | 1618 Ne 101st Ter, Kansas City, MO 64155-3700 | 2020-10-21 |
| 1851999262 | Shawn L Kratz | Home Health Aide | 2011 Chapel Plaza Ct Ste 11, Columbia, MO 65203-6398 | 2020-10-16 |
| 1881291425 | Julie Hawkins | Home Health Aide | 10175 County Road 180, Carthage, MO 64836-7247 | 2020-10-06 |
| 1689281156 | Darnice Hudson | Home Health Aide | 8723 Marcella Ave, Saint Louis, MO 63121-4105 | 2020-09-28 |
| 1699381046 | Chikere Nwagbara | Home Health Aide | 6604 E 100th St, Kansas City, MO 64134-1514 | 2020-09-21 |
| 1235757832 | Legacy Home Care LLC | Home Health Aide | 1100 Mona Dr, Saint Louis, MO 63130-2130 | 2020-07-09 |
| 1972121515 | Tamika D Thompson | Home Health Aide | 311 Dry Brook Rd, Wentzville, MO 63385-4102 | 2020-07-09 |
| 1700404845 | Tyronia Patricia Porchia | Home Health Aide | 8911 Ramona Ave, Saint Louis, MO 63121-4018 | 2020-07-06 |
| 1184240327 | Justified Living, LLC | Home Health Aide | 7850 N Farm Road 239, Strafford, MO 65757-8987 | 2020-06-23 |
| 1942826730 | Victoria J Washington | Home Health Aide | 4218 E Maffitt Ave, Saint Louis, MO 63113-2935 | 2020-06-17 |
| 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.