JEFFERSON MEMORIAL HOSPITAL ASSOCIATION (NPI# 1811903966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811903966 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
1400 Us Highway 61 Festus MO 63028-4100 |
| Mailing Address |
Po Box 350 Crystal City MO 63019-0350 |
| Practice Telephone | 6369331000 |
| Mailing Telephone | 6369331000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES L MUEHLHAUSER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6369331103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 160-48 | MO | Nursing & Custodial Care Facilities |
| Street Address |
1400 US HIGHWAY 61 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264493 | Kaile Jean Eggemeyer | Nurse Practitioner | 1400 Us Highway 61, Festus, MO 63028-4100 | 2020-10-29 |
| 1073010419 | Amanda Rae Mcvey | Registered Nurse | 1400 Us Highway 61, Festus, MO 63028-4100 | 2018-04-11 |
| 1417482530 | Lauren Kerley | Nurse Anesthetist, Certified Registered | 1400 Us Highway 61, Festus, MO 63028-4100 | 2017-04-26 |
| 1669907242 | Mahmoud Mohamed Elfadil | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2017-04-20 |
| 1346797305 | John Westley Pipkin | Nurse Practitioner | 1400 Us Highway 61, Festus, MO 63028 | 2016-09-07 |
| 1427401579 | Gwendolyn Bailey | Social Worker | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-07-13 |
| 1710337274 | Matthew James Crisp | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-06-15 |
| 1417311242 | Anthony Sanders | Registered Nurse | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-04-07 |
| 1780079053 | Debbie Trudell | Counselor | 1400 Us Highway 61, Festus, MO 63028-4100 | 2015-04-02 |
| 1417349234 | Rouba Ghoussoub Md LLC | Internal Medicine | 1400 Us Highway 61, G30, Festus, MO 63028-4100 | 2015-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811106198 | Phfm, LLC | Skilled Nursing Facility | 627 Westwood Dr S, Festus, MO 63028-2062 | 2007-05-22 |
| 1801878772 | Arbor Place of Festus | Skilled Nursing Facility | 12827 Highway Tt, Festus, MO 63028-4351 | 2005-11-16 |
| 1356342695 | Malik Corporation | Skilled Nursing Facility | 1349 Highway 61, Festus, MO 63028-4107 | 2005-08-09 |
| 1285291542 | Opco Festus, Mo, LLC | Skilled Nursing Facility | 627 Westwood Dr S, Festus, MO 63028-2062 | 2019-05-22 |
| 1285058289 | Generations Health Systems of Festus, LLC | Skilled Nursing Facility | 12827 Highway Tt, Festus, MO 63028-4351 | 2014-02-11 |
| 1386976694 | Yusuf M Chaudhry Inc. | Skilled Nursing Facility | 420 W Main St, Festus, MO 63028-1800 | 2010-02-11 |
| 1467592618 | Crystal Oaks Long Term Care | Skilled Nursing Facility | 1500 Calvary Church Rd, Festus, MO 63028-4125 | 2007-02-07 |
| 1255493623 | Benchmark Healthcare of Festus, Inc | Skilled Nursing Facility | 12827 Highway Tt, Festus, MO 63028-4351 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
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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.