COLE COUNTY RESIDENTIAL SERVICES, INC (NPI# 1801937719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801937719 |
| Entity Type | Organization |
| Organization Name | COLE COUNTY RESIDENTIAL SERVICES, INC |
| Practice Address |
343 Eastwood Dr Jefferson City MO 65101-5702 |
| Mailing Address |
1908 Boggs Creek Rd Jefferson City MO 65101-5580 |
| Practice Telephone | 5736344555 |
| Practice Fax Number | 5736344352 |
| Mailing Telephone | 5736344555 |
| Mailing Fax Number | 5736344352 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MELODY TROESSER (ACCOUNTANT) |
| Authorized Official Telephone | 5736344555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679727507 | Cole County Residential Services, Inc | Day Training, Developmentally Disabled Services | 601 E High St, Jefferson City, MO 65101-3218 | 2008-11-05 |
| 1376618066 | Cole County Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1800 Tanner Bridge Rd, Jefferson City, MO 65101-2848 | 2006-11-21 |
| 1194866020 | Cole County Residential Services, Inc | Respite Care | 1800 Tanner Bridge Rd, Jefferson City, MO 65101-2848 | 2007-02-12 |
| Street Address |
343 EASTWOOD DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1629468558 | Jesse R. Kirchhoff | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Jaycee Dr, Suite 108, Jefferson City, MO 65109-1094 | 2015-01-30 |
| 1013334671 | Day Solutions, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2725 Merchants Dr, Suite B, Jefferson City, MO 65109-1174 | 2014-03-20 |
| 1215352273 | Gustave Epple | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1212 Satinwood Dr, Jefferson City, MO 65109-1938 | 2014-02-28 |
| 1477741247 | Daniel Opara | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5306 Scruggs Station Rd, Jefferson City, MO 65109-6437 | 2007-10-05 |
| 1598881542 | Chi and Candy, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2017 William Street, Jefferson City, MO 65109 | 2007-03-21 |
| 1912035981 | Salmons Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2434 Scenic Dr, Jefferson City, MO 65101-3912 | 2007-03-01 |
| 1568505394 | Cole County Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 616 Delaware St, Parkway, Jefferson City, MO 65109-1752 | 2007-02-14 |
| 1992846802 | Cole County Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2015b E Mccarty St, Jefferson City, MO 65101-4328 | 2007-02-12 |
| 1750422176 | Cole County Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 614 Delaware St, Jefferson City, MO 65109-1752 | 2007-02-09 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on COLE COUNTY RESIDENTIAL SERVICES, INC.
| 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.