MELISSA A STEWART (NPI# 1629195607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629195607 |
| Entity Type | Organization |
| Organization Name | MELISSA A STEWART |
| Other Organization Name | MELISSA'S GROUP HOME |
| Practice Address |
106 Dacus Sikeston MO 63801 |
| Mailing Address |
106 Dacus Dr Sikeston MO 63801-9013 |
| Practice Telephone | 5734714219 |
| Mailing Telephone | 5734714219 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | MRS. MELISSA A STEWART (OWNER) |
| Authorized Official Telephone | 5734714219 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13678892 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 853126100 | 05 |
| Other Name | Type Code |
|---|---|
| Melissa's Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013274059 | Melissa A Stewart | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Dacus Drive, Sikeston, MO 63801-3801 | 2012-04-16 |
| Street Address |
106 DACUS |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1194858001 | Wandas Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 411 Harrison St, Sikeston, MO 63801 | 2007-03-13 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental 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 |
|---|---|---|---|---|
| 1194858001 | Wandas Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 411 Harrison St, Sikeston, MO 63801 | 2007-03-13 |
| 1437219508 | Colonial Manor LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 907 W Malone Ave, Sikeston, MO 63801-2425 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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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.