PREFERRED FAMILY HEALTHCARE, INC. (NPI# 1770628885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770628885 |
Entity Type | Organization |
Organization Name | PREFERRED FAMILY HEALTHCARE, INC. |
Practice Address |
7020 Chippewa St Saint Louis MO 63119-5602 |
Mailing Address |
900 E Laharpe St Kirksville MO 63501-4520 |
Practice Telephone | 3148350226 |
Practice Fax Number | 3146440461 |
Mailing Telephone | 6606651962 |
Mailing Fax Number | 6606653989 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-07-28 |
Authorized Official Name | MARK CONOVER (COO) |
Authorized Official Telephone | 5736031460 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
6300-9238 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 866204506 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3800 S Broadway, Saint Louis, MO 631184608 | 3147722205 | 3147729264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962992743 | Preferred Family Healthcare, Inc. | Clinic/Center | 1 Healthcare Pl, Bowling Green, MO 63334-3602 | 2018-05-16 |
1770086316 | Preferred Family Healthcare, Inc. | Clinic/Center | 725 Cleveland St, Paris, MO 65275-1119 | 2018-03-09 |
1700326816 | Preferred Family Healthcare, Inc. | Clinic/Center | 2114 Se Washington Blvd, Bartlesville, OK 74006-7254 | 2017-03-08 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
1376904086 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 522 E Lakeview Rd, Stillwater, OK 74075-2825 | 2016-03-09 |
1184082380 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 815 Elm St, Frederick Ball Public Housing, Quincy, IL 62301-2365 | 2016-02-02 |
1124499074 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 540 Harrison St, Quincy, IL 62301-7236 | 2015-10-16 |
1871969964 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 639 York St Rm 212, Quincy, IL 62301-3919 | 2015-08-12 |
1386029072 | Preferred Family Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2646 W Olive St, Apt A, Springfield, MO 65802-4620 | 2015-07-23 |
1528446986 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 4928 Delmar Blvd, Saint Louis, MO 63108-1615 | 2015-05-18 |
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 |
7020 CHIPPEWA ST |
City | SAINT LOUIS |
State | MO |
Zip Code | 63119-5602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470644 | Lindsay C Howell | Counselor | 7020 Chippewa St, Saint Louis, MO 63119-5602 | 2020-06-03 |
1710365564 | Preferred Family Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7020 Chippewa St, Saint Louis, MO 63119-5602 | 2015-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
Find all providers in zip 63119 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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---|---|---|---|---|
1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
1700233145 | New Beginnings C-star | Clinic/Center | 1408 N Kingshighway Blvd Ste 4, Saint Louis, MO 63113-1426 | 2016-05-16 |
1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
1750682043 | Black Alcohol/drug Service Information Center | Clinic/Center | 3026 Locust St, Saint Louis, MO 63103-1329 | 2010-11-03 |
1417123480 | Assisted Recovery Centers of America, LLC | Clinic/Center | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2008-04-30 |
1578737490 | Safety Council of Greater St. Louis | Clinic/Center | 2330 Hampton Ave, Saint Louis, MO 63139-2909 | 2008-04-22 |
1417080359 | Preferred Family Healthcare | Clinic/Center | 2949 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2007-03-13 |
1104470939 | Haven Recovery Services | Clinic/Center | 1902 Arsenal St, Saint Louis, MO 63118-2503 | 2019-07-30 |
1467005744 | I-wave | Clinic/Center | 10995 Chase Park Ln Apt C, Saint Louis, MO 63141-5787 | 2019-07-16 |
1508393216 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St, Suite 300, Saint Louis, MO 63103-2303 | 2017-05-12 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63119 |
Please comment or provide details below to improve the information on PREFERRED FAMILY HEALTHCARE, 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.