PHELPS COUNTY INDUSTRIAL SOLUTIONS INC


Address: 3900 Hy Point Blvd, Rolla, MO 65401-7841
Phone: 5733642883

PHELPS COUNTY INDUSTRIAL SOLUTIONS INC (NPI# 1437668340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437668340
Entity Type Organization
Organization Name PHELPS COUNTY INDUSTRIAL SOLUTIONS INC
Practice Address 3900 Hy Point Blvd
Rolla
MO 65401-7841
Practice Telephone 5733642883
Enumeration Date 2017-09-22
Last Update Date 2018-06-16
Authorized Official Name JOAN NADOLSKI (DIRECTOR)
Authorized Official Telephone 5733642883
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO WSTRANSPORT 05

Office Location

Street Address 3900 HY POINT BLVD
City ROLLA
State MO
Zip Code 65401-7841

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497133243 Preferred Family Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1212 E State Route 72, Suite 8, Rolla, MO 65401-3938 2015-05-13
1164603072 Mi Serenity Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11840 Private Drive 5136, Rolla, MO 65401-5909 2007-11-19
1386848794 Future Care, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1401 Forum Dr # A, Rolla, MO 65401-2508 2007-06-12
1144349259 Jeannie Gloria Dake Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1101 Strobach St, Rolla, MO 65401-4243 2007-03-28
1770607780 Future Care, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1401 Forum Dr, Rolla, MO 65401-2508 2007-03-16
1730527904 Laci's Haven Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 713 Salem Ave, Suite E, Rolla, MO 65401-3444 2013-06-10
1376763292 Reliable Home Care Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1106 Laguille Ct, Rolla, MO 65401-3440 2007-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609475516 Brandi Janelle Hickman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 2020-10-21
1154935112 Overcomers Counseling Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17101 East 203rd St, Peculiar, MO 64078 2020-09-06
1386265965 Candace Palmer Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2405 Bowe Ln, Jefferson City, MO 65109-9116 2020-05-05
1902426596 Matt Ferguson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4480 Bradley Dr, Joplin, MO 64804-5503 2020-04-23
1689206211 Insight Industry LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 2020-02-11
1598306904 Hearo Technologies LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 2019-10-07
1437790219 Darin Roark Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 2019-10-03
1942851399 Wyatt's Dream Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 205 State Highway Aa, Sikeston, MO 63801-5303 2019-09-26
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1043870181 Rebuild Contracting LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 2019-06-20
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Competitor

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City ROLLA
Zip Code 65401

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Dataset Information

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.

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