FOUR SEASONS IN HOME SERVICES, LLC


Address: 712 S Montgomery Ave, Sedalia, MO 65301-4654
Phone: 6608262600

FOUR SEASONS IN HOME SERVICES, LLC (NPI# 1477616522) 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) 1477616522
Entity Type Organization
Organization Name FOUR SEASONS IN HOME SERVICES, LLC
Practice Address 712 S Montgomery Ave
Sedalia
MO 65301-4654
Practice Telephone 6608262600
Practice Fax Number 6608260021
Mailing Telephone 6608262600
Mailing Fax Number 6608260021
Enumeration Date 2006-12-19
Last Update Date 2020-08-22
Authorized Official Name MR. RICHARD J DESTEFANE (PRESIDENT)
Authorized Official Telephone 6608262600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 164W00000X Licensed Practical Nurse Nursing Service Providers
X 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers
X 376K00000X Nurse's Aide Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 376K0000X 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851429807 Four Seasons In Home Services, LLC Day Training/Habilitation Specialist 712 S Montgomery Ave, Sedalia, MO 65301-4654 2007-03-01

Office Location

Street Address 712 S MONTGOMERY AVE
City SEDALIA
State MO
Zip Code 65301-4654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851429807 Four Seasons In Home Services, LLC Day Training/Habilitation Specialist 712 S Montgomery Ave, Sedalia, MO 65301-4654 2007-03-01
1477681344 Four Seasons In Home Services,llc Homemaker 712 S Montgomery Ave, Sedalia, MO 65301-4654 2007-03-01
1134257181 Four Seasons In Home Services,llc Day Training/Habilitation Specialist 712 S Montgomery Ave, Sedalia, MO 65301-4654 2007-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760024962 Eve's Doting Doula Care LLC Doula 28226 Hwy Tt, Sedalia, MO 65301 2019-10-09
1568938322 Judith Jean Patrick Occupational Therapist 1520 Thompson Blvd, Sedalia, MO 65301 2018-10-19
1558843623 Teddy Santiago Contractor 101b South Wasington, Sedalia, MO 65301 2018-09-05
1063991859 Empowerme Rehabilitation Mo Agency Occupational Therapist 3751 West 10thstreet, Sedalia, MO 65301 2018-08-13
1780174375 Sarah Elizabeth Cheatham Specialist/Technologist 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 2018-05-18
1033617790 Megan Marie Yonker Nurse Practitioner 821 Westwood Dr., Sedalia, MO 65301 2018-01-29
1801326236 Angel Verlee Hale Dentist 4400 S. Limit, Sedalia, MO 65301 2017-06-18
1487192514 Kami Parney Emergency Medical Technician, Basic 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 2017-02-09
1407216344 Sylvia G. Thompson Residence Center, Inc. Alzheimer Center (Dementia Center) 975 Mitchell Road, Sedalia, MO 65301 2016-03-04
1174968721 John Buckley Physical Therapy Assistant 1630 Hickory Lane, Sedalia, MO 65301 2013-05-08
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912415944 Wendy Mcginnis Licensed Practical Nurse 821 Westwood Dr, Sedalia, MO 65301-2102 2018-01-11
1861913162 Magen Hanzel Licensed Practical Nurse 1700 W Main St, Sedalia, MO 65301-3635 2017-06-28
1659804250 Adam Lankerd Licensed Practical Nurse 1700 W Main St, Sedalia, MO 65301-3635 2017-04-10
1134501497 Risa Gillaspie Licensed Practical Nurse 1400 S Limit Ave, Sedalia, MO 65301-5118 2015-06-23
1942601778 Tanja Walton Licensed Practical Nurse 1400 S Limit Ave Ste 9, Sedalia, MO 65301-5116 2014-09-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871190470 Show Me Care Quality Staffing, Inc. Licensed Practical Nurse 711 Old Ballas Rd Ste 220, Creve Coeur, MO 63141-7069 2020-10-06
1609481969 Kelei Mitchell Licensed Practical Nurse 906 Eichelberger St, Saint Louis, MO 63111-1603 2020-09-14
1144832478 Maryann Partee Licensed Practical Nurse 720 Teson Rd, Hazelwood, MO 63042-3334 2020-08-18
1649897547 Cheryl Vetter Licensed Practical Nurse 1034 S Brentwood Blvd Ste 1540, Saint Louis, MO 63117-1229 2020-06-26
1639792203 Johnny Dell Huffman Licensed Practical Nurse 13834 Parks Steed Dr, Earth City, MO 63045-1405 2020-05-18
1518588052 Sharon Denise Cox Licensed Practical Nurse 4045 Ashbury Crossings Dr, Florissant, MO 63034 2020-05-06
1619515236 Sherri Mcmeans Licensed Practical Nurse 1098 Ne Independence Ave, Lees Summit, MO 64086-5218 2019-12-13
1538703020 Gregory Charles Womack Sr. Licensed Practical Nurse 4929 Wise Ave, Saint Louis, MO 63110-1418 2019-10-29
1437790227 Prestige Home Health Care L.l.c Licensed Practical Nurse 1428 S Pearl St, Independence, MO 64055-1430 2019-10-02
1871140293 Teresa Ann Warfield Licensed Practical Nurse 104 Bartley Ln, Fulton, MO 65251-2139 2019-08-21
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Competitor

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City SEDALIA
Zip Code 65301

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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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