AUDRAIN HANDICAPPED SERVICES (NPI# 1730210212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730210212 |
| Entity Type | Organization |
| Organization Name | AUDRAIN HANDICAPPED SERVICES |
| Practice Address |
308 E Jackson St Mexico MO 65265-2823 |
| Practice Telephone | 5735818210 |
| Practice Fax Number | 5735815204 |
| Mailing Telephone | 5735818210 |
| Mailing Fax Number | 5735815204 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY M. CREWS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5735818210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619146362 | Audrain Handicapped Services | Case Management | 308 E Jackson St, Mexico, MO 65265-2823 | 2008-02-27 |
| 1346372166 | Audrain Handicapped Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| 1235261058 | Audrain Handicapped Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| 1689706400 | Audrain Handicapped Services | Day Training, Developmentally Disabled Services | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| Street Address |
308 E JACKSON ST |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619146362 | Audrain Handicapped Services | Case Management | 308 E Jackson St, Mexico, MO 65265-2823 | 2008-02-27 |
| 1346372166 | Audrain Handicapped Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| 1235261058 | Audrain Handicapped Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| 1689706400 | Audrain Handicapped Services | Day Training, Developmentally Disabled Services | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689706400 | Audrain Handicapped Services | Day Training, Developmentally Disabled Services | 308 E Jackson St, Mexico, MO 65265-2823 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483296 | Chinique Care LLC | Day Training, Developmentally Disabled Services | 13905 E 39th St S Ste 105, Independence, MO 64055-3378 | 2020-09-28 |
| 1164045068 | Phillip Brown | Day Training, Developmentally Disabled Services | 4954 Hurstborough Ct, Hazelwood, MO 63042-1592 | 2020-05-26 |
| 1487205365 | Dreams, LLC | Day Training, Developmentally Disabled Services | 105 E Main St Ste 10, Richmond, MO 64085-1729 | 2019-09-23 |
| 1669037701 | Amanda Elizabeth Derousse | Day Training, Developmentally Disabled Services | 1527 Deerwood Dr, Jackson, MO 63755-4148 | 2019-05-03 |
| 1841770955 | Goodwill of Western Missouri and Eastern Kansas | Day Training, Developmentally Disabled Services | 1817 Campbell St, Kansas City, MO 64108-1739 | 2018-08-17 |
| 1457880965 | Shawn William Cairer | Day Training, Developmentally Disabled Services | 24857 Highway O, Sedalia, MO 65301-0341 | 2017-06-08 |
| 1023559481 | Vocational Visionary Opportunities | Day Training, Developmentally Disabled Services | 10105 Us Highway 63, West Plains, MO 65775-4504 | 2017-03-17 |
| 1588101315 | Reliable Home Health Services, LLC | Day Training, Developmentally Disabled Services | 663 Olivia Dr, Cape Girardeau, MO 63701-2742 | 2017-01-31 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1881140556 | Paula Smith | Day Training, Developmentally Disabled Services | 810 E North Main St, Richmond, MO 64085-1916 | 2016-08-31 |
| 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.