PREFERRED FAMILY HEALTHCARE (NPI# 1730567751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730567751 |
| Entity Type | Organization |
| Organization Name | PREFERRED FAMILY HEALTHCARE |
| Practice Address |
3105 Independence St Suite B Cape Girardeau MO 63703-5042 |
| Mailing Address |
1111 S Glenstone Ave Suite 3-100 Springfield MO 65804-0338 |
| Practice Telephone | 5733344477 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MARK CONOVER (COO) |
| Authorized Official Telephone | 6606651962 |
| 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 |
| 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 |
| 1427181361 | Preferred Family Healthcare | Clinic/Center | 1628 Oklahoma Ave, Trenton, MO 64683-2565 | 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 |
3105 INDEPENDENCE ST SUITE B |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538547278 | Preferred Family Healthcare | Day Training, Developmentally Disabled Services | 3105 Independence St, Suite B, Cape Girardeau, MO 63703-5042 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1902233711 | Blue Sky Cimmunity Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2354 Rusmar St, Cape Girardeau, MO 63703-7616 | 2013-10-11 |
| 1669997979 | Aspirations for Independent Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1858 Broadway St, Cape Girardeau, MO 63701-4553 | 2017-08-08 |
| 1033511761 | Semo Alliance for Disability Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1913 Rusmar St, Cape Girardeau, MO 63703-7623 | 2014-09-25 |
| 1699020503 | Southeast Missouri State University Autism Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 611 N Fountain St, Cape Girardeau, MO 63701-7244 | 2012-07-17 |
| 1295014470 | Southeast Missouri State University | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2100 Themis St Ste 103c, Cape Girardeau, MO 63701-5124 | 2011-08-05 |
| 1699826750 | Regency Management Inc Bollinger | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1330 Southern Expy, Cape Girardeau, MO 63703-7706 | 2007-01-16 |
| 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 | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.