SHALIMAR CORP (NPI# 1568541886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568541886 |
| Entity Type | Organization |
| Organization Name | SHALIMAR CORP |
| Other Organization Name | PARKWOOD MANOR |
| Practice Address |
2732 Bloomfield Rd Cape Girardeau MO 63703-6302 |
| Practice Telephone | 5733353044 |
| Mailing Telephone | 5733353044 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GALE LACY (OFFICE MANAGER) |
| Authorized Official Telephone | 5733353044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320700000X | Residential Treatment Facility, Physical Disabilities | 031626 | MO | Residential Treatment Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 031626 | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| PARKWOOD MANOR | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHALIMAR CORPORATION | 12350 Jefferson Ave Ste 360, Newport News, Virginia 23602 |
| Street Address |
2732 BLOOMFIELD RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518367614 | Healn Heart Home Healthcare Inc | Residential Treatment Facility, Physical Disabilities | 2047 S Swope Dr, Apt C, Independence, MO 64057-1003 | 2014-08-26 |
| 1891103404 | Karing Homes LLC | Residential Treatment Facility, Physical Disabilities | 6139 Forest Ave, Kansas City, MO 64110-3427 | 2014-07-28 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1558659466 | Heritage Hills LLC | Residential Treatment Facility, Physical Disabilities | Po Box B, Patton, MO 63662-0010 | 2011-07-12 |
| 1922335926 | Blue Hayven In-home Health Care | Residential Treatment Facility, Physical Disabilities | 11553 Withersfield Dr, Saint Louis, MO 63138-1152 | 2009-11-11 |
| 1790940989 | Barefootboy LLC | Residential Treatment Facility, Physical Disabilities | 723 S Scenic Ave, 723 S.scenic, Springfield, MO 65802-5042 | 2008-07-28 |
| 1285787002 | Bliss Manor, Inc. | Residential Treatment Facility, Physical Disabilities | 2929 Lafayette St, Saint Joseph, MO 64507-1615 | 2007-01-18 |
| 1326119553 | Hickory Hills Residential Care | Residential Treatment Facility, Physical Disabilities | 935 Spartan Ln, Foristell, MO 63348-1022 | 2006-11-10 |
| 1437130747 | Flo-gp Leasing Co., LLC | Residential Treatment Facility, Physical Disabilities | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2005-11-14 |
| 1508311747 | N & R of Maryville LLC | Residential Treatment Facility, Physical Disabilities | 524 N Laura St, Maryville, MO 64468-1955 | 2016-08-17 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on SHALIMAR CORP.
| 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.