GREEN MEADOWS


Address: 301 N New Madrid St, Sikeston, MO 63801-1971
Phone: 5734715503

GREEN MEADOWS (NPI# 1790980548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790980548
Entity Type Organization
Organization Name GREEN MEADOWS
Practice Address 301 N New Madrid St
Sikeston
MO 63801-1971
Mailing Address Po Box 909
Sikeston
MO 63801-0909
Practice Telephone 5734715503
Mailing Telephone 5734715503
Enumeration Date 2007-06-20
Last Update Date 2019-11-06
Authorized Official Name MRS. ANGELA DAWN HICKS-MASTER (OWNER/AUTHORIZED OFFICIAL)
Authorized Official Telephone 8702433960
Authorized Official Credential APN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 266736404 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114057486 Green Meadows Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5354 Route F, Anderson, MO 64831-8506 2007-03-06

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Green Meadows 24, LLC 9328 E. Evans Pl, Denver, CO 80231
Oregon Corporations, Companies and Business Names GREEN MEADOWS AFH 6375 Sw 124th Ave, Beaverton, OR 97008
Indiana Business Entities GREEN MEADOWS AG GROUP LLC 7601 N 900 W, Etna Green, IN 46524
System for Award Management (SAM) Entities GREEN MEADOWS APARTMENTS 101 S Reid St Ste 201, Sioux Falls, SD 57103-7062
Vermont Business Registrations GREEN MEADOWS APARTMENTS, LLC 1205 North Ave, Burlington, VT 05408
New York State Corporations GREEN MEADOWS B&B LLC 2 Executive Blvd., Ste. 300, Suffern, New York 10901
New York State Corporations GREEN MEADOWS BY MIKE FLECK INC. P.o. Box 303, Stonybrook, Ny 11790
Vermont Business Registrations GREEN MEADOWS CATERING 4 Sleepy Hollow Road, Essex Jct., VT 05452
Vermont Business Registrations GREEN MEADOWS CENTER LLC 265 Dover Hill Road, Est Dover, VT 05341
Iowa Business Entities GREEN MEADOWS CENTER, L.L.C. 115 Frederick Street, San Francisco, CA 94117

Office Location

Street Address 301 N NEW MADRID ST
City SIKESTON
State MO
Zip Code 63801-1971

Providers in the same zip code

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
1780130930 Delta South Adult Care Center LLC Clinic/Center 640 Colonel George E Day Parkway, Sikeston, MO 63801 2016-08-28
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
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366053480 Green Acres Assisted Living LLC Assisted Living Facility 411 N Kings Highway, Sikeston, MO 63801-1936 2020-08-12
1023562410 Ables Manor Assisted Living LLC Assisted Living Facility 2620 Ables Rd, Sikeston, MO 63801-9376 2016-08-15
1437598943 Americare At La Bonne Maison Assisted Living LLC Assisted Living Facility 226 Plaza Drive, Sikeston, MO 63801-4146 2013-06-18
1316993025 Labonne Maison Residential, LLC Assisted Living Facility 539 N West St, Sikeston, MO 63801-5443 2006-05-25
1265988950 Delta South Skilled Nursing and Rehabilitation LLC Assisted Living Facility 640 Colonel George E Day Parkway, Sikeston, MO 63801-0624 2016-09-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144820283 Oak Meadows Rcf LLC Assisted Living Facility 5502 Misty Meadow Rd, Poplar Bluff, MO 63901-9287 2020-10-28
1700486859 Hillcrest Residential Care Assisted Living Facility 9415 N North Browns Station Rd, Columbia, MO 65202-8671 2020-10-28
1700484250 Americare At Field Pointe LLC Assisted Living Facility 5002 Gene Field Road, St Joseph, MO 64506 2020-10-15
1205433638 Skyline Assisted Living LLC Assisted Living Facility 100 Hard Rock Rd, Van Buren, MO 63965-0780 2020-10-08
1023615622 Four Seasons Care Corp Assisted Living Facility 230 Railroad St, Moscow Mills, MO 63362-1600 2020-10-06
1336754985 Tiffany Springs Senior Care Community Assisted Living Facility 9101 N Ambassador Dr, Kansas City, MO 64154-7295 2020-09-10
1467062612 Welcome Home Assisted Living, LLC Assisted Living Facility 5 Adams Dr, Dexter, MO 63841-1985 2020-08-03
1831725142 Harmony Gardens Residential, LLC Assisted Living Facility 539 E Young Ave, Warrensburg, MO 64093-1228 2020-03-18
1386278414 Family Partners Home LLC Assisted Living Facility 232 Creve Coeur Ave, Manchester, MO 63011-4040 2020-02-27
1710517701 Peachwood Manor, LLC Assisted Living Facility 15895 State Highway 76, Cassville, MO 65625-8098 2020-01-19
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Competitor

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City SIKESTON
Zip Code 63801

Improve Information

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Dataset Information

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.

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