EASTWOOD ACRES INC (NPI# 1730219833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730219833 |
| Entity Type | Organization |
| Organization Name | EASTWOOD ACRES INC |
| Practice Address |
855 East Eastwood Marshall MO 65340-1541 |
| Mailing Address |
Po Box 606 855 E Eastwood Marshall MO 65340-1541 |
| Practice Telephone | 6608864113 |
| Practice Fax Number | 6608864113 |
| Mailing Telephone | 6608864113 |
| Mailing Fax Number | 6608864113 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PATRICIA ANN WEBER (OWNER PROVIDER) |
| Authorized Official Telephone | 6608864113 |
| 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 | Residential Treatment Facilities |
| Street Address |
855 EAST EASTWOOD |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| 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 |
|---|---|---|---|---|
| 1164969440 | Tgl Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4311 Fernbrook Ter, Marshall, TX 75672-4709 | 2017-01-25 |
| 1154872570 | Sheila Morris I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 584 Walker Rd, Marshall, TX 75672-3257 | 2016-10-20 |
| 1588964308 | Trinity Homecare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 502 S Allen Blvd, Marshall, TX 75670-4924 | 2010-10-26 |
| 1891955985 | Aiming Higher, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 4 Box 123b, Marshall, MO 65340-9205 | 2008-06-11 |
| 1689842858 | Beaconway IIi, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 441 North Dr, Marshall, MO 65340-3309 | 2008-02-11 |
| 1982872149 | Beaconway Isl I, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2606 Villa Ct, Marshall, MO 65340-9711 | 2008-02-11 |
| 1518125319 | First Choice Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 E High St, Marshall, MO 65340-1294 | 2008-05-28 |
| 1639347750 | Kings Vista LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 E High St, Marshall, MO 65340-1294 | 2008-02-11 |
| 1457555609 | Morning Light, Inc. of Texas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Nathan St, Marshall, TX 75670-6247 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| 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.