COMMON GOOD-NATURAL LIVING (NPI# 1548602477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548602477 |
| Entity Type | Organization |
| Organization Name | COMMON GOOD-NATURAL LIVING |
| Practice Address |
215 Harrison St Marshall MO 65340-3715 |
| Practice Telephone | 6608155270 |
| Mailing Telephone | 6608155270 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-11-12 |
| Authorized Official Name | ELLEN L LANCE (OWNER) |
| Authorized Official Telephone | 6608155270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
215 HARRISON ST |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| 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 |
|---|---|---|---|---|
| 1164969440 | Tgl Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4311 Fernbrook Ter, Marshall, TX 75672-4709 | 2017-01-25 |
| 1154872570 | Sheila Morris I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 584 Walker Rd, Marshall, TX 75672-3257 | 2016-10-20 |
| 1588964308 | Trinity Homecare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 502 S Allen Blvd, Marshall, TX 75670-4924 | 2010-10-26 |
| 1891955985 | Aiming Higher, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 4 Box 123b, Marshall, MO 65340-9205 | 2008-06-11 |
| 1689842858 | Beaconway IIi, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 441 North Dr, Marshall, MO 65340-3309 | 2008-02-11 |
| 1982872149 | Beaconway Isl I, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2606 Villa Ct, Marshall, MO 65340-9711 | 2008-02-11 |
| 1730219833 | Eastwood Acres Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 East Eastwood, Marshall, MO 65340-1541 | 2007-03-07 |
| 1518125319 | First Choice Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 E High St, Marshall, MO 65340-1294 | 2008-05-28 |
| 1639347750 | Kings Vista LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 E High St, Marshall, MO 65340-1294 | 2008-02-11 |
| 1457555609 | Morning Light, Inc. of Texas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Nathan St, Marshall, TX 75670-6247 | 2007-06-12 |
| Find all providers in MARSHALL | ||||
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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.