SOUTHEAST HOSPITAL (NPI# 1790875664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790875664 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HOSPITAL |
| Other Organization Name | SOUTHEAST HOME HEALTH |
| Practice Address |
10 Doctors Park Cape Girardeau MO 63703-4928 |
| Practice Telephone | 5733356609 |
| Practice Fax Number | 5733355864 |
| Mailing Telephone | 5733356609 |
| Mailing Fax Number | 5733355864 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | MRS. VICKIE SUE SCHURBUSCH (HOME CARE SERVICES ADMINISTRATOR) |
| Authorized Official Telephone | 5733356609 |
| Authorized Official Credential | MSN, RN, CHPN |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 223-21 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Southeast Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1982905295 | Southeast Hospital | Pharmacy | 817 S Mount Auburn Rd Ste 130, Cape Girardeau, MO 63703-6392 | 2010-11-03 |
| 1336150846 | Southeast Hospital | Pharmacy | 1723 Broadway Ste 110, Cape Girardeau, MO 63701 | 2006-08-10 |
| 1194907493 | Southeast Hospital | Rehabilitation Unit | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2007-11-29 |
| 1639351935 | Southeast Hospital | Psychiatric Unit | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2007-11-29 |
| 1982788196 | Southeast Hospital | Hospice Care, Community Based | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-10-24 |
| 1811006661 | Southeast Hospital | General Acute Care Hospital | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2006-08-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Southeast Hospitality LLC | 2031 Military St S Po Box 1537, Hamilton, AL 35570 |
| North Carolina Corporations | Southeast Hospitality Solutions LLC | 19810 W Catawba Avenue Suite E, Cornelius, NC 28031 |
| Street Address |
10 DOCTORS PARK |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366218 | Regina Marie Frazier | Family Medicine | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2018-08-15 |
| 1679782668 | Donald E Edwards | Internal Medicine | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2007-05-22 |
| 1982788196 | Southeast Hospital | Hospice Care, Community Based | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-10-24 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689538 | All Love & Care Home Health | Home Health | 1028 N Kingshighway St, Cape Girardeau, MO 63701-3503 | 2017-03-07 |
| 1063860583 | At Home Help, LLC | Home Health | 1918 N Kingshighway St Ste 109, Cape Girardeau, MO 63701-2158 | 2016-05-25 |
| 1013266436 | Grace Reliant Health Services, LLC | Home Health | 2845 Independence St, Cape Girardeau, MO 63703-5015 | 2012-08-30 |
| 1548381221 | Pyramid Homemaker Services, Inc. | Home Health | Independence & Water Street, Cape Girardeau, MO 63702-1927 | 2007-04-02 |
| 1679623417 | Pyramid Homemaker Services, Inc. | Home Health | Independence and Water Street, Cape Girardeau, MO 63702 | 2007-01-12 |
| 1760576425 | Semo Alliance for Disability Independence, Inc. | Home Health | 121 S Broadview St Ste 12, Cape Girardeau, MO 63703-5702 | 2006-10-03 |
| 1437188034 | Saint Francis Medical Center | Home Health | 14 Doctors Park Ste C, Cape Girardeau, MO 63703-4916 | 2006-07-03 |
| 1053684910 | Med Plus Staffing L.L.C. | Home Health | 760 S Kingshighway St, Suite E, Cape Girardeau, MO 63703-7630 | 2012-02-22 |
| 1083908131 | Semo Alliance for Disability Independence | Home Health | 1913 Rusmar St, Cape Girardeau, MO 63703-7623 | 2011-06-07 |
| 1811290273 | Cox Hps of The Ozarks, Inc. | Home Health | 286 Christine St, Cape Girardeau, MO 63703-5827 | 2010-12-07 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on SOUTHEAST HOSPITAL.
| 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.