OZARK SUPPORTED LIVING LLC (NPI# 1679937569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937569 |
| Entity Type | Organization |
| Organization Name | OZARK SUPPORTED LIVING LLC |
| Practice Address |
6634 County Road 287b Puxico MO 63960-8510 |
| Practice Telephone | 5732223599 |
| Mailing Telephone | 5732223599 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | SHARON MILLER READ (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 5732223599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | LC001447119 | MO | Residential Treatment Facilities |
| Street Address |
6634 COUNTY ROAD 287B |
| City | PUXICO |
| State | MO |
| Zip Code | 63960-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326428210 | Sharon Read | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6634 County Road 287b, Puxico, MO 63960-8510 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714350 | Puxico R-viii School District | Local Education Agency (LEA) | 481 North Bedford Street, Puxico, MO 63960 | 2007-05-25 |
| 1992850457 | Sherry Limbaugh | Nurse Practitioner | 130 E. Harbin, Puxico, MO 63960 | 2007-01-24 |
| 1508921180 | J & S Stewart Inc | Nursing Care | 24080 State Hwy 51, Puxico, MO 63960 | 2006-12-26 |
| 1740364850 | Puxico Drugs Inc. | Pharmacy | 190 E. Richardson Ave, Puxico, MO 63960 | 2006-10-25 |
| 1881659126 | Garry Breck Bartmess | Pharmacist | 190 East Richardson Ave, Puxico, MO 63960 | 2006-04-19 |
| 1164883468 | James Dwain Holden | Nurse Anesthetist, Certified Registered | 22888 County Road 283, Puxico, MO 63960-7338 | 2016-03-14 |
| 1669646139 | Tracy Robison | Speech-Language Pathologist | 22290 County Road 267, Puxico, MO 63960-7379 | 2008-04-16 |
| 1932732690 | Mingo Residential Care of Puxico LLC | Custodial Care Facility | 24080 State Highway 51, Puxico, MO 63960-8114 | 2020-02-20 |
| 1275576654 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2006-06-14 |
| 1750797775 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2014-07-10 |
| Find all providers in zip 63960 | ||||
| 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 |
|---|---|---|---|---|
| 1326428210 | Sharon Read | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6634 County Road 287b, Puxico, MO 63960-8510 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| 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.