GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS (NPI# 1528192721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528192721 |
| Entity Type | Organization |
| Organization Name | GENTRY COUNTY ASSOCIATION FOR RETARDED CITIZENS |
| Other Organization Name | ROLLING HILLS CREATIVE LIVING, INC. |
| Practice Address |
901 N Case St Albany MO 64402-1398 |
| Mailing Address |
106 S Smith St Albany MO 64402-1624 |
| Practice Telephone | 6607265280 |
| Mailing Telephone | 6607264155 |
| Mailing Fax Number | 6607263916 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ED D MOLDENHAUER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6607264155 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities | |
| X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
MO | Suppliers | |
| X | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
MO | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Rolling Hills Creative Living, Inc. | Other Name - Individual/Organization |
| Street Address |
901 N CASE ST |
| City | ALBANY |
| State | MO |
| Zip Code | 64402-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137266 | Howell Place LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1304 East Howell St, Albany, MO 64402 | 2007-02-05 |
| 1790837318 | Thomas Clinton Schneider | Dentist | 307 W Clay, Albany, MO 64402 | 2007-01-16 |
| 1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
| 1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
| 1881725497 | Tlc Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 W Jefferson St, Albany, MO 64402-1242 | 2007-03-07 |
| 1174966543 | Albany Behavioral Health Services | Community/Behavioral Health | 115 N Smith St, Albany, MO 64402-1250 | 2013-04-16 |
| 1588973929 | Mary-jennifer Elizabeth Quinley | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2010-10-04 |
| 1942768197 | Kari A O'neal LLC | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2019-03-06 |
| 1467833707 | Kari Ann Oneal | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2015-06-12 |
| 1134541659 | Ssm Regional Health Services | Ophthalmology | 115 N Smith St, Albany, MO 64402-1250 | 2014-01-17 |
| Find all providers in zip 64402 | ||||
| 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 |
|---|---|---|---|---|
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1356833982 | Stepping Stones, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 E Cameron St, Albany, MO 64402-1301 | 2018-05-30 |
| 1285978569 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 704 38th Ave Se, Albany, OR 97322-3807 | 2012-11-27 |
| 1427354844 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Broadalbin St Sw, Albany, OR 97321-2200 | 2011-02-02 |
| 1801113949 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30199 Julia St, Albany, LA 70711-3415 | 2010-04-29 |
| 1326207762 | Center for Disability Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Locksley Ct, Albany, NY 12203-4741 | 2008-06-02 |
| 1053597740 | Caring First Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5274 300th St, Albany, MO 64402-8163 | 2008-01-14 |
| 1801070065 | North Lake Supports & Services Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30199 Julia Street, Albany, LA 70711 | 2007-12-24 |
| 1033399407 | Beacon Way 111 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3411 State Highway 85, Albany, MO 64402-8335 | 2007-11-13 |
| 1790974053 | Beacon Way II LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 406 N Railroad St, Albany, MO 64402-2403 | 2007-10-23 |
| Find all providers in ALBANY | ||||
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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.