FOUR SEASONS LIVING CENTER, LLC (NPI# 1699803999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699803999 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS LIVING CENTER, LLC |
| Practice Address |
2800 Highway Tt Sedalia MO 65301-1410 |
| Practice Telephone | 6608268803 |
| Practice Fax Number | 6608266864 |
| Mailing Telephone | 6608268803 |
| Mailing Fax Number | 6608266864 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD JOSEPH DESTEFANE (PRESIDENT) |
| Authorized Official Telephone | 3145433800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538157367 | Four Seasons Living Center, LLC | Skilled Nursing Facility | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2005-10-06 |
| Street Address |
2800 HIGHWAY TT |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538157367 | Four Seasons Living Center, LLC | Skilled Nursing Facility | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2005-10-06 |
| 1558610220 | Barry Philip Backer | Occupational Therapist | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2012-09-10 |
| 1518229251 | Morgan Rashel Millsap | Occupational Therapy Assistant | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2012-06-08 |
| 1902178791 | Ashley R Roberts | Physical Therapy Assistant | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965352 | Roseline Omolola Popoola | Nurse's Aide | 652 Foxtail Dr, Florissant, MO 63034-2035 | 2020-09-08 |
| 1639796170 | Michelle Protheroe | Nurse's Aide | 10 Greendale Dr, Saint Charles, MO 63301-1144 | 2020-07-01 |
| 1083230924 | Malinda A Phenix | Nurse's Aide | 5819 Hodiamont Ave, Saint Louis, MO 63136-3601 | 2020-06-16 |
| 1861968513 | Joyce Smith | Nurse's Aide | 12019 E 47th St, Kansas City, MO 64133-2517 | 2018-10-21 |
| 1083115729 | Laquetta Williams | Nurse's Aide | 1121 E Gano Ave, Saint Louis, MO 63107-1319 | 2018-02-27 |
| 1851749394 | Michelle Alise Bledsoe | Nurse's Aide | 218 Broadmoor Dr, Raymore, MO 64083-9298 | 2016-05-25 |
| 1437512688 | Cathleen Bush | Nurse's Aide | 5057 Lakewood Ave, Affton, MO 63123-3717 | 2016-04-04 |
| 1346612272 | Lisa Roth | Nurse's Aide | 22294 Coffelt Rd, Saint Mary, MO 63673-9225 | 2015-10-30 |
| 1528443918 | Chris Comrie | Nurse's Aide | 8 Autumn Leaves Dr, Lake Saint Louis, MO 63367-6436 | 2015-07-27 |
| 1063818003 | Shannan Henson | Nurse's Aide | 2307 Ne 72nd St, Gladstone, MO 64118-2307 | 2014-11-18 |
| 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.