MAKEOVER FOR LIFE OUTREACH (NPI# 1770886897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770886897 |
| Entity Type | Organization |
| Organization Name | MAKEOVER FOR LIFE OUTREACH |
| Practice Address |
4730 Margaretta Ave Fl 2 Saint Louis MO 63115-2151 |
| Practice Telephone | 3143826090 |
| Mailing Telephone | 3143826090 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |
| Authorized Official Name | MRS. BRENDA ROCHELLE MOORE (CEO) |
| Authorized Official Telephone | 3143826090 |
| Authorized Official Credential | CASAC2,CCJP,SATO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | #2955 & #3100 | MO | Managed Care Organizations |
| Street Address |
4730 MARGARETTA AVE FL 2 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63115-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023002 | Joshua Kamau Njenga | Nurse Practitioner | 4412 Clarence Avenue, Saint Louis, MO 63115 | 2017-06-20 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1366806051 | Samar Roberson | Home Health | 4307 Steinlage Dr, Saint Louis, MO 63115 | 2016-04-08 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1023466984 | Carestl Health #4 | Durable Medical Equipment & Medical Supplies | 4500 Pope Ave, Saint Louis, MO 63115 | 2016-06-01 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
| 1245721331 | Paul Anthony Matthews Sr. | Home Health Aide | 5165 Ashland Ave, Saint Louis, MO 63115-1014 | 2018-05-23 |
| 1952946857 | Tiffany Nicole Stewart | Home Health | 5116 Greer Ave, Saint Louis, MO 63115-1017 | 2019-11-14 |
| Find all providers in zip 63115 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740721836 | A Touch of Joy | Exclusive Provider Organization | 7305 Manchester Rd Ste C2, Saint Louis, MO 63143-3109 | 2017-03-09 |
| 1760934905 | Lasher Consumer Directed Services, LLC | Exclusive Provider Organization | 2138 Woodson Rd Ste 1, Saint Louis, MO 63114-5671 | 2016-11-03 |
| 1821493545 | Red Eye LLC | Exclusive Provider Organization | 9717 Clayton Rd, Saint Louis, MO 63124-1503 | 2014-10-23 |
| 1144596263 | Genesis Adult Care, LLC | Exclusive Provider Organization | 8420 Olive Blvd, Saint Louis, MO 63132-2816 | 2012-03-23 |
| 1093092413 | Pamela Jean Weber | Exclusive Provider Organization | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2011-11-14 |
| 1639456064 | Susan K Boyer, Md LLC | Exclusive Provider Organization | 9890 Clayton Rd, Suite 100, Saint Louis, MO 63124-1685 | 2011-11-14 |
| 1225314248 | John Rabun, Md, LLC | Exclusive Provider Organization | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2011-10-24 |
| 1902121171 | Back-in-line Wellness Center | Exclusive Provider Organization | 14 Ronnies Plz, Saint Louis, MO 63126-3552 | 2010-03-31 |
| 1932358421 | Internal Medicine & Gastroenterology LLC | Exclusive Provider Organization | 10121 W Florissant Ave, Saint Louis, MO 63136-2103 | 2008-09-09 |
| 1427224658 | Eldercare Professional In Home Healthcare | Exclusive Provider Organization | 3642 Botanical Ave, Saint Louis, MO 63110-4002 | 2008-05-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63115 |
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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.