PCRMC-HEALTH SERVICES, INC. (NPI# 1699803973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699803973 |
| Entity Type | Organization |
| Organization Name | PCRMC-HEALTH SERVICES, INC. |
| Other Organization Name | PHELPS HEALTH HOMECARE |
| Practice Address |
575a Blues Lake Pkwy Rolla MO 65401 |
| Mailing Address |
575a Blues Lake Pkwy Rolla MO 65401-8587 |
| Practice Telephone | 5733642425 |
| Practice Fax Number | 5733643993 |
| Mailing Telephone | 5733642425 |
| Mailing Fax Number | 5733643993 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | JANA COOK (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5734587916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | 0004588 | MO | Nursing Service Related Providers |
| N | 372600000X | Adult Companion | 0004588 | MO | Nursing Service Related Providers |
| Y | 376J00000X | Homemaker | 0004588 | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 283815504 | 05 |
| Other Name | Type Code |
|---|---|
| Phelps Health Homecare | Doing Business As Name - Organization |
| Phelps Regional Homecare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1202 Homelife Plz, Rolla, MO 654012512 | 5733642425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304578 | Pcrmc-health Services, Inc. | Home Health | 575a Blues Lake Pkwy, Rolla, MO 65401-8587 | 2005-05-27 |
| 1427185206 | Pcrmc-health Services, Inc. | Registered Nurse | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-02-27 |
| 1700913589 | Pcrmc-health Services, Inc. | Hospice Care, Community Based | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-02-27 |
| Street Address |
575A BLUES LAKE PKWY |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304578 | Pcrmc-health Services, Inc. | Home Health | 575a Blues Lake Pkwy, Rolla, MO 65401-8587 | 2005-05-27 |
| 1831736347 | Karissa Dawn Rowley | Physical Therapist | 575a Blues Lake Pkwy, Rolla, MO 65401-8587 | 2019-12-03 |
| 1427185206 | Pcrmc-health Services, Inc. | Registered Nurse | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-02-27 |
| 1700913589 | Pcrmc-health Services, Inc. | Hospice Care, Community Based | 575a Blues Lake Pkwy, Rolla, MO 65401 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811108343 | Tri-county Center for Independent Living | Homemaker | 1420 E State Route 72, Rolla, MO 65401-3988 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840360 | New Heights Homehealth Care, LLC | Homemaker | 4435 N Highway 67, Florissant, MO 63034-2831 | 2020-10-28 |
| 1104426659 | Midwest Home Health Care, Inc. | Homemaker | 1 W Armour Blvd Ste 101, Kansas City, MO 64111-2087 | 2020-10-26 |
| 1770199655 | Brittny Lynn Cockrell | Homemaker | 1105 Borden Dr, Florissant, MO 63031-1301 | 2020-09-16 |
| 1831717339 | Shantell Small | Homemaker | 1355 Taos Dr, Saint Louis, MO 63138-2317 | 2020-07-10 |
| 1942820063 | Loving Hearts Home Care LLC | Homemaker | 1409 Washington Ave Ste 416, Saint Louis, MO 63103-1917 | 2020-04-18 |
| 1760018436 | Nana and Jack's In-home Healthcare,llc | Homemaker | 1409 Washington Ave Ste 419, Saint Louis, MO 63103-1917 | 2020-03-13 |
| 1740812890 | Rotha Montez Perkins | Homemaker | 6815 Askew Ave, Kansas City, MO 64132-3017 | 2020-02-06 |
| 1447890413 | Charlene Coates | Homemaker | 9516 Drury Ave Apt 108, Kansas City, MO 64137-1234 | 2020-01-08 |
| 1881246056 | Reliable Home Health Service LLC | Homemaker | 2126 Woodson Rd, Saint Louis, MO 63114-5616 | 2019-07-09 |
| 1891257721 | Erica Ray | Homemaker | 1454 Hogan St, Saint Louis, MO 63106-4733 | 2019-04-01 |
| 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.