STATE OF MISSOURI (NPI# 1487931358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487931358 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSOURI |
| Other Organization Name | HIGGINSVILLE HABILITATION CENTER-CRISIS |
| Practice Address |
100 W 1st St Higginsville MO 64037-1171 |
| Mailing Address |
1706 E Elm St Attn Reimbursements Po Box 687 Jefferson City MO 65102-0687 |
| Practice Telephone | 6605842142 |
| Practice Fax Number | 6605846244 |
| Mailing Telephone | 5737513398 |
| Mailing Fax Number | 5735264560 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 5737514055 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MISSOURI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Higginsville Habilitation Center-Crisis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781499 | State of Missouri | Rehabilitation Counselor | 3418 Knipp Dr, Jefferson City, MO 65109-5701 | 2020-02-07 |
| 1275073280 | State of Missouri | General Practice | 1547 W Commerce Drive, Marshall, MO 65340-3907 | 2017-02-24 |
| 1528333085 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N Colorado St, Nevada, MO 64772-1618 | 2012-03-16 |
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1922207679 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5410 Rinker Rd, Kansas City, MO 64129-2308 | 2007-07-13 |
| 1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1366503153 | State of Missouri | Day Training, Developmentally Disabled Services | 471 E Slater St, Marshall, MO 65340 | 2006-12-13 |
| 1427118033 | State of Missouri | Day Training, Developmentally Disabled Services | 522 Star St, Marshall, MO 65340 | 2006-12-12 |
| Street Address |
100 W 1ST ST |
| City | HIGGINSVILLE |
| State | MO |
| Zip Code | 64037-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134646003 | Shela Marie Arnold | Nurse Practitioner | 100 W 1st St, Higginsville, MO 64037-1171 | 2017-08-23 |
| 1487046140 | Jameshia Spencer | Nurse Practitioner | 100 W 1st St, Higginsville, MO 64037-1171 | 2015-03-04 |
| 1003167735 | Terri Fletcher | Nurse Practitioner | 100 W 1st St, Higginsville, MO 64037-1171 | 2012-09-20 |
| 1003946674 | William Harper Marchbanks | Dentist | 100 W 1st St, Higginsville, MO 64037-1171 | 2007-03-06 |
| 1326176942 | Vickie Kay Ward | Nurse Practitioner | 100 W 1st St, Higginsville, MO 64037-1171 | 2007-03-02 |
| 1720140148 | State of Missouri | Day Training, Developmentally Disabled Services | 100 W 1st St, Higginsville, MO 64037 | 2006-12-14 |
| 1689745010 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 100 W 1st St, Higginsville, MO 64037-1171 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962529073 | At Home Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 214 E 13th St, Higginsville, MO 64037 | 2007-03-23 |
| 1790728442 | Denise L Brummel | Physical Therapist | 720 Fairground Avenue, Physical Therapy of Higginsville, Higginsville, MO 64037 | 2006-06-13 |
| 1407803851 | State of Missouri | Psychiatry & Neurology | 100 West 1st St, Higginsville, MO 64037 | 2006-05-30 |
| 1194275362 | Western Missouri Medical Center | Family Medicine | 1200 W 22nd St, Higginsville, MO 64037 | 2016-10-11 |
| 1558748764 | George J & Hilda Meyer Foundation, Inc. | Assisted Living Facility | 1201 W 19th St, Higginsville, MO 64037 | 2015-04-27 |
| 1710198122 | At Home Residential Svs Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 214 E 13th St, Higginsville, MO 64037 | 2007-05-25 |
| 1548304116 | George J & Hilda Meyer Foundation Inc. | Assisted Living Facility | 1201 W 19th St, Higginsville, MO 64037 | 2007-02-16 |
| 1306891734 | Red Cross Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 1712 Main St, Higginsville, MO 64037-1345 | 2006-05-24 |
| 1558773630 | Robert Rauch | Pharmacist | 1712 Main St, Higginsville, MO 64037-1345 | 2014-05-23 |
| 1871554196 | Frances D Atkins | Registered Nurse | 14 E 18th St, Healthy Living Institute Ste 104, Higginsville, MO 64037-1358 | 2006-03-28 |
| Find all providers in zip 64037 | ||||
| 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 |
|---|---|---|---|---|
| 1922454453 | Gentle Moments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2408 Highway 13, Higginsville, MO 64037-1614 | 2016-05-13 |
| 1962529073 | At Home Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 214 E 13th St, Higginsville, MO 64037 | 2007-03-23 |
| 1164588810 | Michelle Ann Sollars-bosley | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1822 Main St, Higginsville, MO 64037-1525 | 2006-12-28 |
| 1871148304 | Carla Looney | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Fairground Ave, Higginsville, MO 64037-1711 | 2019-08-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HIGGINSVILLE |
| Zip Code | 64037 |
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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.