ICAN MISSOURI FOUNDATION


Address: 105 North Ave, Moberly, MO 65270-2860
Phone: 6602698875

ICAN MISSOURI FOUNDATION (NPI# 1447703632) 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) 1447703632
Entity Type Organization
Organization Name ICAN MISSOURI FOUNDATION
Practice Address 105 North Ave
Moberly
MO 65270-2860
Mailing Address 2000 S Highway 63
Po Box 280
Moberly
MO 65270-4532
Practice Telephone 6602698875
Mailing Telephone 6602694549
Enumeration Date 2016-07-25
Last Update Date 2016-07-25
Authorized Official Name MR. JAMES L. O'LOUGHLIN (BOARD MEMBER)
Authorized Official Telephone 6602694549
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 105 NORTH AVE
City MOBERLY
State MO
Zip Code 65270-2860

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538628052 Thomas Johnston Physical Therapist Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 2019-03-14
1245709682 Sam's Prescription Shop, Inc. Durable Medical Equipment & Medical Supplies 300 N. Morley Street, Moberly, MO 65270 2018-11-15
1639324585 Trinidad J. Aguilera General Practice 5201 South Morley, Moberly, MO 65270 2008-11-19
1023270170 Jessica Winn Internal Medicine 1513 Union Ave Ste 1500, Moberly, MO 65270 2008-06-30
1629237383 Heather Ann Lavalley Physical Therapy Assistant 1346 S Morley, Moberly, MO 65270 2008-06-06
1265602429 Mckenzie Prescription Center Inc Hearing Aid Equipment 643 N Morley St Ste A, Moberly, MO 65270 2008-03-04
1366624165 Sharon Kay Steele Military Hospital 1510 Highway Jj Lot41, Moberly, MO 65270 2007-12-04
1932241536 Christian S Tadrus Pharmacist 530 E. 24 Highway, (26-39586), Moberly, MO 65270 2007-02-12
1588700140 Heartland Neurology, LLC Psychiatry & Neurology 300 N. Morley, Suite H, Moberly, MO 65270 2007-01-30
1164571519 John James Oloughlin Dentist 1616 N Morely, Ste B, Moberly, MO 65270 2007-01-08
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912272147 Randolph County Supported Training Center, Inc Day Training, Developmentally Disabled Services 100 Sparks Ave Ste B, Moberly, MO 65270-2842 2012-03-21
1164689451 Randolph County Sheltered Industries, Inc. Day Training, Developmentally Disabled Services 100 Sparks Ave, Moberly, MO 65270-2842 2008-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609483296 Chinique Care LLC Day Training, Developmentally Disabled Services 13905 E 39th St S Ste 105, Independence, MO 64055-3378 2020-09-28
1164045068 Phillip Brown Day Training, Developmentally Disabled Services 4954 Hurstborough Ct, Hazelwood, MO 63042-1592 2020-05-26
1487205365 Dreams, LLC Day Training, Developmentally Disabled Services 105 E Main St Ste 10, Richmond, MO 64085-1729 2019-09-23
1669037701 Amanda Elizabeth Derousse Day Training, Developmentally Disabled Services 1527 Deerwood Dr, Jackson, MO 63755-4148 2019-05-03
1841770955 Goodwill of Western Missouri and Eastern Kansas Day Training, Developmentally Disabled Services 1817 Campbell St, Kansas City, MO 64108-1739 2018-08-17
1457880965 Shawn William Cairer Day Training, Developmentally Disabled Services 24857 Highway O, Sedalia, MO 65301-0341 2017-06-08
1023559481 Vocational Visionary Opportunities Day Training, Developmentally Disabled Services 10105 Us Highway 63, West Plains, MO 65775-4504 2017-03-17
1588101315 Reliable Home Health Services, LLC Day Training, Developmentally Disabled Services 663 Olivia Dr, Cape Girardeau, MO 63701-2742 2017-01-31
1780131300 Autism and Behavioral Spectrum LLC Day Training, Developmentally Disabled Services 14733 Clayton Road, Chesterfield, MO 63011 2016-09-01
1881140556 Paula Smith Day Training, Developmentally Disabled Services 810 E North Main St, Richmond, MO 64085-1916 2016-08-31
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Competitor

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City MOBERLY
Zip Code 65270

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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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