GRAND RIVER HEALTH SYSTEM CORPORATION (NPI# 1457546111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457546111 |
| Entity Type | Organization |
| Organization Name | GRAND RIVER HEALTH SYSTEM CORPORATION |
| Other Organization Name | HEDRICK MEDICAL CENTER HOME HEALTH AGENCY |
| Practice Address |
498 Park Ln Chillicothe MO 64601-1551 |
| Practice Telephone | 6606462199 |
| Mailing Telephone | 6606462199 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | BRIAN J JOHNSTON (CEO) |
| Authorized Official Telephone | 6606461480 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRAND RIVER HEALTH SYSTEM CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 261966305 | 05 |
| Other Name | Type Code |
|---|---|
| Hedrick Medical Center Home Health Agency | Doing Business As Name - Organization |
| Street Address |
498 PARK LN |
| City | CHILLICOTHE |
| State | MO |
| Zip Code | 64601-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245274653 | Saint Lukes Hospital of Chillicothe | Hospice Care, Community Based | 498 Park Ln, Chillicothe, MO 64601-1551 | 2006-06-15 |
| 1003001769 | The Grand River Health System Corporation | Licensed Practical Nurse | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-09-06 |
| 1366637027 | The Grand River Health System Corporation | Homemaker | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-09-06 |
| 1437353687 | Tina Marie Jones | Physical Therapist | 498 Park Ln, Chillicothe, MO 64601-1551 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1063776706 | Marie Elizabeth Mckinley | Counselor | 871 Fairway Drive, Chillicothe, MO 64601 | 2012-06-27 |
| 1528332525 | Brandon Kent Albrecht | Nurse Anesthetist, Certified Registered | 2106 Woodcrest Drive, Chillicothe, MO 64601 | 2012-03-08 |
| 1356651707 | Kimberly Marie Rice | Hearing Instrument Specialist | 614 Washington St., Suite 101, Chillicothe, MO 64601 | 2010-10-19 |
| 1457551483 | Mccoy Samples Mattingly Dental Clinic | Dentist | 850 Fairway Dr, Chillicothe, MO 64601 | 2007-07-18 |
| 1134328909 | Katherine Gibson | Speech-Language Pathologist | 1020 Old Highway 36 West, Chillicothe, MO 64601 | 2007-07-12 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1275671042 | Floyd Jerome Davis | Chiropractor | 701 Locust Street, Chillicothe, MO 64601 | 2007-02-02 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| Find all providers in zip 64601 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204848 | Samuel Beeler | Technician | 607 Malone Rd, Chillicothe, OH 45601-9330 | 2020-10-29 |
| 1346856317 | Penny Elaine Wolf | Technician | 391 Mill St, Chillicothe, OH 45601-2317 | 2020-09-16 |
| 1649765611 | Terri Walsh | Technician | 2 Diamond Ln, Chillicothe, OH 45601-9234 | 2018-06-22 |
| 1003052879 | Janice M Rucker | Technician | 2020 Patton Hill Rd, Chillicothe, OH 45601-8743 | 2008-12-29 |
| 1780184630 | Jennifer Brake | Technician | 1008 S 6th St, Chillicothe, TX 79225-8569 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
| 1043819519 | Joice Westfall-hollingsworth | Technician | 3530 Greenwood Blvd Ste A, Maplewood, MO 63143-4211 | 2020-10-25 |
| 1952909798 | A 2nd Family LLC | Technician | 3507 Southern Hills Dr, Kansas City, MO 64137-2119 | 2020-10-14 |
| 1295343127 | Ardella Watkins | Technician | 3878 Hirondelle Ln, Florissant, MO 63034-2308 | 2020-07-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1386269769 | Bev Emery | Technician | 22820 Sw Hampton Ct, Blue Springs, MO 64015-9624 | 2020-06-11 |
| 1346870664 | Honor Cds LLC | Technician | 7918 Delmar Blvd # A, Saint Louis, MO 63130-3715 | 2020-01-26 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1265075600 | Lisa Gaye Adamson | Technician | 36 County Road 331, Poplar Bluff, MO 63901-5478 | 2019-10-17 |
| 1417508060 | Ca Home Health Care Services LLC | Technician | 2216 Normandy Dr, Saint Louis, MO 63121-4732 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 64601 |
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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.