HULETT ENTERPRISES DBA STOVERS RESIDENTIAL CARE FACILITY (NPI# 1679641229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679641229 |
| Entity Type | Organization |
| Organization Name | HULETT ENTERPRISES DBA STOVERS RESIDENTIAL CARE FACILITY |
| Practice Address |
520 E 5th St Milan MO 63556-1222 |
| Practice Telephone | 6602653262 |
| Practice Fax Number | 6608574413 |
| Mailing Telephone | 6602653262 |
| Mailing Fax Number | 6608574413 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DONNA RAE HULETT (OWNER) |
| Authorized Official Telephone | 6602653262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
033443 | MO | Nursing & Custodial Care Facilities |
| Street Address |
520 E 5TH ST |
| City | MILAN |
| State | MO |
| Zip Code | 63556-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366786246 | Rolling Hills Residential Care Facility, LLC | Assisted Living Facility | 24583 Hwy 5, Milan, MO 63556 | 2012-11-16 |
| 1326160821 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 708 North Pearl, Milan, MO 63556 | 2007-04-04 |
| 1285775858 | Sullivan County Memorial Hospital | Clinic/Center | 630 W 3rd St, Milan, MO 63556 | 2007-02-08 |
| 1114008281 | Stephanie Alvera Granneman | Nurse Practitioner | 210 N Market St, Milan, MO 63556 | 2006-10-17 |
| 1801968979 | Daniel Hoelzel Crtt Inc | Durable Medical Equipment & Medical Supplies | 19269 Daisy Dr, Milan, MO 63556-0065 | 2006-11-14 |
| 1194856203 | Sullivan County Health Department | Case Management | 101 Hawthorne Dr, Milan, MO 63556-1017 | 2007-03-08 |
| 1659479061 | Thomas Edwin Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2006-09-20 |
| 1487005435 | Michelle Lynn Greathouse | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2016-06-30 |
| 1528324779 | Ryan Williams | Family Medicine | 630 W 3rd St, Milan, MO 63556-1076 | 2012-04-02 |
| 1780843623 | Martha Kay Curtis | Nurse Practitioner | 630 W 3rd St, Milan, MO 63556-1076 | 2008-06-05 |
| Find all providers in zip 63556 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427269828 | Davis Health Care, Inc. | Assisted Living Facility | 2826 Campbell St, Kansas City, MO 64109-1124 | 2007-05-25 |
| 1033288899 | Ridgeway Residential Care | Assisted Living Facility | 431 Russell Rd, Sullivan, MO 63080-2228 | 2006-11-07 |
| 1245720192 | Welltower Opco Group LLC | Assisted Living Facility | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-05-16 |
| 1356698930 | Jamieson Care LLC | Assisted Living Facility | 3715 Jamieson Ave, Saint Louis, MO 63109-1109 | 2012-08-13 |
| 1003178740 | Reliant Care Rehabilitative Service | Assisted Living Facility | 1734 Market St, Hannibal, MO 63401-4025 | 2012-06-08 |
| 1376804476 | Reliant Care Rehabilitative Services | Assisted Living Facility | 1734 Market St, Hannibal, MO 63401-4025 | 2012-06-05 |
| 1679889711 | Judy C Funk Lscw Clinical Social Work LLC | Assisted Living Facility | 5103 Sw Surf Scooter St, Lees Summit, MO 64082-4599 | 2010-08-26 |
| 1134397524 | Davis Health Care, Inc. | Assisted Living Facility | 2905 Campbell St, Kansas City, MO 64109-1417 | 2008-02-19 |
| 1134271885 | Complete Health Care Solutions, Inc | Assisted Living Facility | 303 S Main St, Fayette, MO 65248-1270 | 2007-01-16 |
| 1255495420 | Complete Health Care Solutions, Inc | Assisted Living Facility | 303 S Main St, Fayette, MO 65248-1270 | 2006-12-21 |
| 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.