MOM AND POP'S ADULT CARE CENTER (NPI# 1801284641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801284641 |
| Entity Type | Organization |
| Organization Name | MOM AND POP'S ADULT CARE CENTER |
| Practice Address |
905 N Price Ln Clinton MO 64735-1721 |
| Practice Telephone | 6608851095 |
| Mailing Telephone | 6608851095 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |
| Authorized Official Name | MS. LISA RENEE BAIN (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6602006891 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 1220 | MO | Agencies |
| Street Address |
905 N PRICE LN |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477955409 | Lisa Renee Bain | Clinic/Center | 905 N Price Ln, Clinton, MO 64735-1721 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750769618 | Guardian Home Health Care | Nursing Care | 8604 Woodyard Rd, Clinton, MD 20735-2032 | 2015-05-12 |
| 1942335047 | Liberty Nursing Services,llc | Nursing Care | 1206 Southwest Blvd, Clinton, NC 28328-4628 | 2007-02-22 |
| 1710930730 | Child-adult Resourse Services, Inc. | Nursing Care | 442 Vine St, Clinton, IN 47842-2163 | 2006-05-19 |
| 1780211789 | Innovative Service Inc | Nursing Care | 7506 State Route 5, Clinton, NY 13323-3654 | 2020-03-27 |
| 1790322030 | Knit Together Healthcare | Nursing Care | 113 Oakhurst Dr, Clinton, MS 39056-3121 | 2019-12-05 |
| 1588915268 | Quality Healthcare and Hospice | Nursing Care | 126 Dunleith Way, Clinton, MS 39056-5455 | 2012-09-21 |
| 1326370107 | Pathways | Nursing Care | 1800 Community, Clinton, MO 64735-8804 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814761 | Gabko Healthcare Services Inc | Nursing Care | 7819 E 117th St, Kansas City, MO 64134-4037 | 2020-06-05 |
| 1992356299 | Visiting Caregiver Services | Nursing Care | 10 Wynnbrooke Manor Ct, Saint Charles, MO 63301-8742 | 2019-09-27 |
| 1770149593 | Angels of Care | Nursing Care | 4867 Cote Brilliante Ave, Saint Louis, MO 63113-1816 | 2019-05-16 |
| 1174189161 | Show-me Health Innovations LLC | Nursing Care | 10430 Tindall Rd, Cadet, MO 63630-8283 | 2019-05-15 |
| 1932669017 | Nightingail Nurses | Nursing Care | 605 Rebecca Dr, Saint Charles, MO 63301-1385 | 2019-03-23 |
| 1265910442 | Epic Healthcare and Wellness Solutions LLC | Nursing Care | 4919 Jamestowne Ridge Ct, Black Jack, MO 63033-4554 | 2018-07-31 |
| 1861997405 | Aksd LLC | Nursing Care | 6833 Bartmer Ave, University City, MO 63130-2531 | 2018-03-26 |
| 1376046797 | Secure Home Health Agency Inc. | Nursing Care | 4 Sally Dr Rear, Maryland Heights, MO 63043-3416 | 2018-03-12 |
| 1255851093 | Kw In-home Health Service LLC | Nursing Care | 1515 N Warson Rd Ste 113, Saint Louis, MO 63132-1108 | 2017-06-22 |
| 1255872545 | Instant Help 314, LLC | Nursing Care | 2016 Retford Dr, Florissant, MO 63033-1232 | 2017-03-20 |
| 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.