SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC. (NPI# 1710597976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710597976 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC. |
| Practice Address |
1078 Wolverine Ln Ste J Cape Girardeau MO 63701-9021 |
| Practice Telephone | 5733353331 |
| Mailing Telephone | 5733353331 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | REGINA LEE VONHASSELN (MEDICAID BILLING SUPERVISOR) |
| Authorized Official Telephone | 5733353331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | Suppliers |
| Other Name | Type Code |
|---|---|
| Aging Matters | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239356 | Southeast Missouri Area Agency On Aging, Inc. | Case Management | 1078 Wolverine Ln Ste J, Cape Girardeau, MO 63701-9021 | 2016-12-16 |
| Street Address |
1078 WOLVERINE LN STE J |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239356 | Southeast Missouri Area Agency On Aging, Inc. | Case Management | 1078 Wolverine Ln Ste J, Cape Girardeau, MO 63701-9021 | 2016-12-16 |
| 1528679867 | Southeast Mo Area Agency On Aging | Case Management | 1078 Wolverine Ln Ste J, Cape Girardeau, MO 63701-9021 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 332U00000X |
| Grouping | Suppliers |
| Classification | Home Delivered Meals |
| Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
| Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172092 | Mid-america Regional Council | Home Delivered Meals | 600 Broadway Blvd Ste 200, Kansas City, MO 64105-1659 | 2019-09-04 |
| 1386764603 | Area Agency On Aging Region X | Home Delivered Meals | 2701 Bird Ave, Joplin, MO 64804-1615 | 2007-03-30 |
| 1417075862 | District IIi Area Agency On Aging | Home Delivered Meals | 106 W Young Ave, Suite H, Warrensburg, MO 64093-1124 | 2007-03-26 |
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on SOUTHEAST MISSOURI AREA AGENCY ON AGING, INC..
| 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.