DELTA SOUTH ADULT CARE CENTER LLC (NPI# 1780130930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780130930 |
Entity Type | Organization |
Organization Name | DELTA SOUTH ADULT CARE CENTER LLC |
Practice Address |
640 Colonel George E Day Parkway Sikeston MO 63801 |
Mailing Address |
1515 E Malone Ave Sikeston MO 63801-3413 |
Practice Telephone | 5734710466 |
Practice Fax Number | 5734714918 |
Mailing Telephone | 5734710466 |
Mailing Fax Number | 5734714918 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |
Authorized Official Name | TERRY COLE (OWNER) |
Authorized Official Telephone | 5734710466 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Street Address |
640 COLONEL GEORGE E DAY PARKWAY |
City | SIKESTON |
State | MO |
Zip Code | 63801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265988950 | Delta South Skilled Nursing and Rehabilitation LLC | Assisted Living Facility | 640 Colonel George E Day Parkway, Sikeston, MO 63801-0624 | 2016-09-01 |
1659827897 | Delta South Rehabilitation LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
1194858001 | Wandas Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 411 Harrison St, Sikeston, MO 63801 | 2007-03-13 |
Find all providers in zip 63801 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225235401 | Keidra's Caring Center, LLC | Clinic/Center | 530 E Gladys St, Sikeston, MO 63801-3018 | 2007-06-29 |
1871630590 | Knights of Columbus 3151 St. Francis Xavier | Clinic/Center | 829 Tanner St, Sikeston, MO 63801-2261 | 2007-01-31 |
1396872487 | Knights of Columbus 3151 St. Francis Xavier | Clinic/Center | 829 Tanner St, Sikeston, MO 63801-2261 | 2007-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915910 | Lori Ann Williams | Clinic/Center | 6719 W Florissant Ave, Saint Louis, MO 63136-3634 | 2020-09-07 |
1376155390 | A Adult Day Care Inc | Clinic/Center | 6201 Michigan Ave, Saint Louis, MO 63111-2546 | 2020-08-20 |
1003434630 | Sierra Meeks | Clinic/Center | 6826 Chesapeake Dr Apt B, Florissant, MO 63033-5237 | 2020-07-09 |
1063038016 | America Elderly Care LLC | Clinic/Center | 5701 Longview Rd, Kansas City, MO 64137-2728 | 2020-06-24 |
1083235709 | Ann's Touch Adult Daycare LLC | Clinic/Center | 1514 Goodfellow Blvd, Saint Louis, MO 63112-3828 | 2020-05-04 |
1104452317 | Above & Beyond International | Clinic/Center | 10522 Grandview Rd, Kansas City, MO 64137-1624 | 2020-03-19 |
1134753593 | Friends of The St. Clair County Senior Center | Clinic/Center | 5345 Bus Hwy 13 Ne, Osceola, MO 64776 | 2020-02-25 |
1871124438 | Angels At Work Adult Daycare LLC | Clinic/Center | 7058 W Florissant Ave, Saint Louis, MO 63136-2561 | 2020-01-31 |
1346889789 | Inspiring Angels Adult Daycare Inc | Clinic/Center | 6827 Howdershell Rd, Hazelwood, MO 63042-1213 | 2020-01-02 |
1992341275 | Abba Hands Adult Daycare LLC | Clinic/Center | 12523 Missouri Bottom Rd, Hazelwood, MO 63042-1561 | 2019-11-21 |
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.