PREFERRED FAMILY HEALTHCARE (NPI# 1710365564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710365564 |
| Entity Type | Organization |
| Organization Name | PREFERRED FAMILY HEALTHCARE |
| Practice Address |
7020 Chippewa St Saint Louis MO 63119-5602 |
| Mailing Address |
1111 S Glenstone Ave Suite 3-100 Springfield MO 65804-0338 |
| Practice Telephone | 3148350226 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | BONTIEA GOSS (COO) |
| Authorized Official Telephone | 4178698911 |
| 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 | CC01430115 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1497133243 | Preferred Family Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1212 E State Route 72, Suite 8, Rolla, MO 65401-3938 | 2015-05-13 |
| 1134507080 | Preferred Family Healthcare | Home Health | 429 E Walnut St, Nevada, MO 64772-2457 | 2015-05-12 |
| 1881072734 | Preferred Family Healthcare | Home Health | 317 S Madison Ave, Aurora, MO 65605-1568 | 2015-05-12 |
| 1730567751 | Preferred Family Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3105 Independence St, Suite B, Cape Girardeau, MO 63703-5042 | 2015-05-11 |
| 1407989304 | Preferred Family Healthcare | Clinic/Center | 210 Hoover St, Jefferson City, MO 65109-0800 | 2007-03-13 |
| 1134252034 | Preferred Family Healthcare | Clinic/Center | 113 N Rubey St, Macon, MO 63552-1634 | 2007-03-13 |
| 1316070212 | Preferred Family Healthcare | Clinic/Center | 137 W Cedar St, Kahoka, MO 63445-1699 | 2007-03-13 |
| 1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
| 1245363183 | Preferred Family Healthcare | Substance Abuse Rehabilitation Facility | 411 E Locust St, Union, MO 63084-1865 | 2007-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREFERRED FAMILY HEALTHCARE, INCORPORATED | 900 E Laharpe, Kirksville, MO 63501-4520 |
| Street Address |
7020 CHIPPEWA ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770628885 | Preferred Family Healthcare, Inc. | Clinic/Center | 7020 Chippewa St, Saint Louis, MO 63119-5602 | 2007-02-20 |
| 1407470644 | Lindsay C Howell | Counselor | 7020 Chippewa St, Saint Louis, MO 63119-5602 | 2020-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| 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 |
|---|---|---|---|---|
| 1588108336 | Wright Way Residential Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2115 Allen Ave, Apt A, Saint Louis, MO 63104-2630 | 2016-12-13 |
| 1952768889 | Living With Purpose | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3919 N 19th St, Saint Louis, MO 63107-2816 | 2016-01-22 |
| 1154788156 | Promise Mobility LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 S Newstead Ave, Saint Louis, MO 63108-2213 | 2016-01-21 |
| 1013334622 | Ebony Wilson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3514 Blair Ave, Saint Louis, MO 63107-3717 | 2014-03-20 |
| 1871914515 | Donald Scales | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8543 Jane Ave, Saint Louis, MO 63121-4309 | 2013-12-24 |
| 1609218593 | Young Mens Christian Association of Greater St Louis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1528 Locust St, Saint Louis, MO 63103-1816 | 2013-07-22 |
| 1467894535 | Sun Valley Adult Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Saint Cyr Rd, Saint Louis, MO 63137-1733 | 2013-07-18 |
| 1477802957 | Phillips Professional Home Health Service | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8456 A Page Ave, Saint Louis, MO 63130-1055 | 2012-08-30 |
| 1013283373 | Mers/missouri Goodwill Industries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1727 Locust St, Saint Louis, MO 63103-1703 | 2012-03-30 |
| 1720359961 | Bethesda Lutheran Communities Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5122 Amberglow Dr, Saint Louis, MO 63129-3204 | 2012-01-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on PREFERRED FAMILY HEALTHCARE.
| 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.