MARANATHA SERVICES OF RAY COUNTY INC. (NPI# 1467577890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467577890 |
| Entity Type | Organization |
| Organization Name | MARANATHA SERVICES OF RAY COUNTY INC. |
| Other Organization Name | MARANATHA SERVICES |
| Practice Address |
11387 Pettis Rd Orrick MO 64077-8134 |
| Practice Telephone | 8164707295 |
| Practice Fax Number | 8164707295 |
| Mailing Telephone | 8164707295 |
| Mailing Fax Number | 8164707295 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DEAN D. SPIRES (ADMINISTRATOR) |
| Authorized Official Telephone | 8164707295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| MARANATHA SERVICES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093870768 | Maranatha Services of Ray County Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11387 Pettis Rd, Orrick, MO 64077-8134 | 2006-12-23 |
| 1508981010 | Maranatha Services of Ray County Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11387 Pettis Rd, Orrick, MO 64077-8134 | 2007-03-21 |
| Street Address |
11387 PETTIS RD |
| City | ORRICK |
| State | MO |
| Zip Code | 64077-8134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093870768 | Maranatha Services of Ray County Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11387 Pettis Rd, Orrick, MO 64077-8134 | 2006-12-23 |
| 1508981010 | Maranatha Services of Ray County Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11387 Pettis Rd, Orrick, MO 64077-8134 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750925293 | Health Care Coalition of Lafayette County | Clinic/Center | 100 Kirkham St, Orrick, MO 64077-8240 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750925293 | Health Care Coalition of Lafayette County | Clinic/Center | 100 Kirkham St, Orrick, MO 64077-8240 | 2019-10-28 |
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093870768 | Maranatha Services of Ray County Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11387 Pettis Rd, Orrick, MO 64077-8134 | 2006-12-23 |
| 1508981010 | Maranatha Services of Ray County Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11387 Pettis Rd, Orrick, MO 64077-8134 | 2007-03-21 |
| 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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| 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.