STE. GENEVIEVE GROUP HOME, INC. (NPI# 1528190915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528190915 |
| Entity Type | Organization |
| Organization Name | STE. GENEVIEVE GROUP HOME, INC. |
| Practice Address |
630 Pointe Basse Dr Ste Genevieve MO 63670-1849 |
| Practice Telephone | 5738833074 |
| Practice Fax Number | 5738839370 |
| Mailing Telephone | 5738833074 |
| Mailing Fax Number | 5738839370 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHARON MARIE WERNER (SECRETARY) |
| Authorized Official Telephone | 5738833074 |
| 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 | Residential Treatment Facilities |
| Street Address |
630 POINTE BASSE DR |
| City | STE GENEVIEVE |
| State | MO |
| Zip Code | 63670-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649487315 | Ste Genevieve Group Home Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 630 Pointe Basse Dr, Ste Genevieve, MO 63670-1849 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175034 | Kirsti Emalyn Pohlman | Occupational Therapist | 21964 Highway 61, Ste. Genevieve, MO 63670 | 2020-02-10 |
| 1124658232 | Ste Genevieve County Memorial Hospital | Pharmacy | 575 Pine Dr, Ste Genevieve, MO 63670 | 2020-01-17 |
| 1629554084 | In-line Chiropractic, LLC | Chiropractor | 545 Rozier St, Ste Genevieve, MO 63670 | 2018-07-18 |
| 1447586649 | Riverview At The Park, Inc | Skilled Nursing Facility | 1100 Progress Parkway, Ste. Genevieve, MO 63670 | 2009-10-22 |
| 1790923464 | Ryan Joseph Tisher | Chiropractor | 535 Rozier St., Ste. Genevieve, MO 63670 | 2009-02-03 |
| 1043467756 | Travis Ray Huffman | Physical Therapy Assistant | 21964 Us Highway 61, Ste. Genevieve, MO 63670 | 2008-08-25 |
| 1447464557 | Shannon Leigh Blum | Specialist/Technologist | 21964 Hightway 32, Ste. Genevieve, MO 63670 | 2007-05-09 |
| 1538289236 | Ryan Buchheit | Physical Therapist | 21964 Highway 32, Ste. Genevieve, MO 63670 | 2007-03-29 |
| 1477671279 | Seilo Inc. Dba Chateau Care | Assisted Living Facility | 820 Park Dr, Ste Genevieve, MO 63670 | 2007-03-27 |
| 1588709794 | William F. Mitchell Jr. | Pharmacist | 800 Ste. Genevieve Drive, Ste. Genevieve, MO 63670 | 2007-02-21 |
| Find all providers in zip 63670 | ||||
| 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 |
|---|---|---|---|---|
| 1891063400 | Indepedence Center of Ste. Genevieve County LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21530 Hwy 32, Suite B, Ste Genevieve, MO 63670-8813 | 2011-12-09 |
| 1649487315 | Ste Genevieve Group Home Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 630 Pointe Basse Dr, Ste Genevieve, MO 63670-1849 | 2007-05-16 |
| 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 | STE GENEVIEVE |
| Zip Code | 63670 |
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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.