BEVERLY JEAN WEBER COBB (NPI# 1720603186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720603186 |
Entity Type | Individual |
Full Name | BEVERLY JEAN WEBER COBB |
Practice Address |
3829 Sw Wood Valley Dr Topeka KS 66610-1124 |
Mailing Address |
3501 Sw Welton Grove Cir Topeka KS 66610-1489 |
Practice Telephone | 7858456249 |
Mailing Telephone | 7858456249 |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-06-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | KS | Residential Treatment Facilities |
Street Address |
3829 SW WOOD VALLEY DR |
City | TOPEKA |
State | KS |
Zip Code | 66610-1124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568486942 | Zane Andrew Blodgett | Social Worker | 4037 Wanamaker Street, Topeka, KS 66610 | 2006-07-27 |
1639436520 | James Philip Hostetter | General Practice | 3811 Sw Wood Valley Drive, Topeka, KS 66610-1124 | 2012-04-16 |
1861413932 | Eastern Kansas Health Care System | Registered Nurse | 3914 Sw 39th Ter, Topeka, KS 66610-1161 | 2006-07-22 |
1992885610 | C Michael West Md LLC | Internal Medicine | 5700 Sw 38th St., Topeka, KS 66610-1252 | 2006-10-17 |
1407186323 | Matthew D Schmidtlein | Registered Nurse | 6935 Sw 43rd Ter, Topeka, KS 66610-1334 | 2009-12-29 |
1306237854 | Total Renal Care Inc | Clinic/Center | 3711 Sw Wanamaker Rd, Topeka, KS 66610-1368 | 2015-02-05 |
1396287215 | Kansas Senior Living Inc. | Skilled Nursing Facility | 6025 Sw 39th Ct, Topeka, KS 66610-1372 | 2016-11-09 |
1366983579 | Lara Jo Stewart | Respiratory Therapist, Registered | 4236 Sw Cambridge Ave, Topeka, KS 66610-1399 | 2017-03-20 |
1134430689 | Kristen M Maldonado | Counselor | 4331 Sw Misty Harbor Dr, Topeka, KS 66610-1404 | 2010-06-30 |
1215123609 | Doreen H Cox | Physical Therapy Assistant | 6847 Sw Dunstan Ct, Topeka, KS 66610-1406 | 2007-09-19 |
Find all providers in zip 66610 |
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 |
---|---|---|---|---|
1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
1174947113 | Avance-d Comminuty Alternatives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7424 Sw 33rd St, Topeka, KS 66614-4663 | 2014-02-11 |
1285060764 | Ladybug's Trust | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Sw Redbud Ln, Topeka, KS 66606-2239 | 2013-09-17 |
1003241779 | Gametime Living LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 S Kansas Ave, Topeka, KS 66612-1304 | 2013-09-12 |
1104033422 | Tarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2701 Sw Randolph Ave, Topeka, KS 66611-1536 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124630132 | Elite Adult Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5001 Looman St, Wichita, KS 67220-3030 | 2020-08-20 |
1073174918 | Keith Lavelle Kerr Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2914 N 38th St, Kansas City, KS 66104-2526 | 2019-06-21 |
1912444548 | Developmental Services of Northwest Kansas, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2703 Hall St Ste 10, Hays, KS 67601-1964 | 2017-01-20 |
1255785275 | Lindsey Marts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8809 Grandview St, Overland Park, KS 66212-3643 | 2016-04-15 |
1952774184 | Joyce's New Vision LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 S 40th St, Kansas City, KS 66106-2607 | 2015-11-10 |
1366861197 | Karen Frye | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4214 N 143rd St E, Wichita, KS 67228-8943 | 2014-04-09 |
1427474485 | Joyce Ann Maley | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 2200th St, Iola, KS 66749-3085 | 2014-03-13 |
1346661485 | Lawrence Comunity Innkeepers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1095 N 1750 Rd, Lawrence, KS 66049-9019 | 2013-12-16 |
1366873788 | Stacey Evans S.e. Enterprises | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11702 W Kenny Ln, Wichita, KS 67212-6649 | 2013-12-11 |
1265860902 | Joyce Butler | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3515 N 33rd Ter, Kansas City, KS 66104-3874 | 2013-10-16 |
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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.