RANDOLPH COUNTY DEVELOPMENTAL DISABILITY RESOURCES (NPI# 1457629040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457629040 |
| Entity Type | Organization |
| Organization Name | RANDOLPH COUNTY DEVELOPMENTAL DISABILITY RESOURCES |
| Other Organization Name | RANDOLPH COUNTY DEVELOPMENTAL DISABILITY SERVICES |
| Practice Address |
628 N Morley St Moberly MO 65270-2523 |
| Mailing Address |
Po Box 1008 Moberly MO 65270-0975 |
| Practice Telephone | 6602698875 |
| Practice Fax Number | 6602699621 |
| Mailing Telephone | 6602698875 |
| Mailing Fax Number | 6602699621 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JULIE L. DOUGHERTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6602698875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Randolph County Developmental Disability Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Coates, Top Floor, Moberly, MO 652701521 | 6608880378 |
| Street Address |
628 N MORLEY ST |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-2523 |
| 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 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157644 | Kristin Keppler | Case Management | 221 Olga St, Saint James, MO 65559-1819 | 2020-09-03 |
| 1164036638 | Rebecca Jane Krewson | Case Management | 15183 Highway C, Lenox, MO 65541-9316 | 2020-09-02 |
| 1104440072 | Beyond Vision Mental Health Inc | Case Management | 140 Long Rd Ste 123, Chesterfield, MO 63005-1282 | 2020-06-05 |
| 1003446535 | Lana Smith | Case Management | 6710 N Bellefontaine Ave, Kansas City, MO 64119-1184 | 2020-01-23 |
| 1417501263 | Black Health Care Coalition | Case Management | 6400 Independence Ave, Kansas City, MO 64125-1545 | 2019-07-30 |
| 1386122497 | D&n Services Unlimited | Case Management | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2018-07-31 |
| 1689164980 | Diversity Placement Services, Inc. | Case Management | 905b E Langsford Rd Ste B, Lees Summit, MO 64063-2969 | 2018-05-14 |
| 1205325131 | Restoration of Hope Project | Case Management | 1925 E Bennett St Ste H, Springfield, MO 65804-1425 | 2018-05-07 |
| 1457855918 | Reynolds County Sheltered Workshop, Inc. | Case Management | 133 Highway 72 E, Bunker, MO 63629-8196 | 2018-03-20 |
| 1952800427 | The Community Counseling & Housing Services | Case Management | 10069 Tappan Dr, Saint Louis, MO 63137-2049 | 2018-02-09 |
| 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.