TENDER HANDS ADULT HEALTH DAYCARE (NPI# 1811124803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811124803 |
| Entity Type | Organization |
| Organization Name | TENDER HANDS ADULT HEALTH DAYCARE |
| Other Organization Name | HOUSE OF PRAISE CHURCH OF GOD |
| Practice Address |
6500 Dunn Rd Desloge MO 63601-1539 |
| Mailing Address |
Pobox 1539 6500 Dunn Rd. Desloge MO 63601-1539 |
| Practice Telephone | 5734315300 |
| Practice Fax Number | 5734315300 |
| Mailing Telephone | 5734315300 |
| Mailing Fax Number | 5734315300 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MR. WILLIAM WILBUR BOUSMAN JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5734315300 |
| Authorized Official Credential | REV |
| Is Organization Subpart | Y |
| Parent Organization Name | HOUSE OF PRAISE CHURCH OF GOD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 802 | MO | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| House of Praise Church of God | Doing Business As Name - Organization |
| Street Address |
6500 DUNN RD |
| City | DESLOGE |
| State | MO |
| Zip Code | 63601-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134611510 | Angela Dawn Ibaviosa | Pharmacist | Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO 63601 | 2018-06-01 |
| 1881101376 | Julie Brischle | Dietitian, Registered | 1025 W. Main Street, P.o. Box 367, Park Hills, MO 63601 | 2018-01-05 |
| 1962810770 | Anns Place | Assisted Living Facility | 351 Keith Street, Park Hills, MO 63601 | 2014-07-24 |
| 1770995474 | Richard Barton | Physical Therapist | 1301 N. Saint Joe Dr., Park Hills, MO 63601 | 2014-05-29 |
| 1871927350 | Marcella Darlynn Williams | Occupational Therapist | 800 Brim Street, Desloge, MO 63601 | 2013-09-03 |
| 1356773287 | Mckenzie Lee Kaughman | Occupational Therapy Assistant | 801 Brim Street, Desloge, MO 63601 | 2013-08-02 |
| 1720292022 | Dwayne Patrick Smith | Physical Therapy Assistant | 1103 Koen Creek Ct. Apt. A, Park Hills, MO 63601 | 2007-05-09 |
| 1710078324 | Martha A Mcmurry | Counselor | 512 East Main St., Park Hills, MO 63601 | 2006-09-27 |
| 1083184667 | Scarlet Barron | General Practice | 223 W. Main St., Park Hills, MO 63601 | 2018-11-27 |
| 1104175090 | Jon Lee Clauser | Physical Therapy Assistant | 801 Brim St, Deslodge, MO 63601 | 2012-09-06 |
| Find all providers in zip 63601 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989457 | Abudant Living Healthcare, LLC | Respite Care | 3151 Park Place Dr, Cape Girardeau, MO 63703-6378 | 2020-07-17 |
| 1679137954 | Stokes Angels LLC | Respite Care | 2929 S Grand Ave, Carthage, MO 64836-7803 | 2019-04-23 |
| 1821540212 | Diversified Support Services, LLC | Respite Care | 3910 Kingsland Ct, # 2f, Saint Louis, MO 63116-4432 | 2016-11-01 |
| 1811351620 | Compassion Care Angels | Respite Care | 9632 Jacobi Ave Apt 4, Saint Louis, MO 63136-2938 | 2016-04-07 |
| 1881055812 | Gracie Lane Day Hab, LLC | Respite Care | Rr 81 Box 175, Koshkonong, MO 65692-8004 | 2016-03-18 |
| 1922386689 | Passages Hospice of Missouri, LLC | Respite Care | 1120 S 6th St, Suite 500, Saint Louis, MO 63104-3602 | 2011-07-29 |
| 1023323904 | Anita Rucker-burns | Respite Care | 9323 E 83rd St, Raytown, MO 64138-2044 | 2010-08-16 |
| 1417273210 | Tina Marie Macklin | Respite Care | 7466 Hazel Ave, Maplewood, MO 63143-3028 | 2010-04-19 |
| 1194953968 | Tr Adult Care and Recreation Center/in Home Service | Respite Care | 1628 N 14th St, Saint Louis, MO 63106-4107 | 2009-06-30 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| 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.