PROCTORS PROVISION LLC. (NPI# 1821698374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821698374 |
| Entity Type | Organization |
| Organization Name | PROCTORS PROVISION LLC. |
| Practice Address |
1809 Vandiver Dr Ste 105 Columbia MO 65202-3948 |
| Practice Telephone | 5738148528 |
| Mailing Telephone | 5738148528 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | MARIAH TA'SHEA PROCTOR (OWNER/CEO) |
| Authorized Official Telephone | 5738148528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1809 VANDIVER DR STE 105 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039871 | Mariah Proctor | Home Health | 1809 Vandiver Dr Ste 105, Columbia, MO 65202-3948 | 2020-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1164039871 | Mariah Proctor | Home Health | 1809 Vandiver Dr Ste 105, Columbia, MO 65202-3948 | 2020-09-26 |
| 1083227730 | Tamika Best | Home Health | 315 Mcrae St, Columbia, SC 29203-5472 | 2020-08-24 |
| 1841809506 | Precise Home Care Solutions LLC | Home Health | 811 Main St Ste 15, Columbia, MS 39429-2711 | 2020-07-29 |
| 1760005714 | Karing In Mind, LLC | Home Health | 7356 Garners Ferry Rd Ste 113, Columbia, SC 29209-2146 | 2020-05-26 |
| 1275153629 | Jd Healthcare Services, Inc. | Home Health | 8639 Hayshed Ln, Columbia, MD 21045-2622 | 2020-04-24 |
| 1952920233 | Theresa Marie Rogers | Home Health | 5 Clusters Ct, Columbia, SC 29210-4831 | 2020-04-15 |
| 1497374060 | James Holmes | Home Health | 140 Gills Crossing Rd, Columbia, SC 29223-3295 | 2020-04-13 |
| 1558994061 | Michelle Carolyn Collymore | Home Health | 3402 Maybank St, Columbia, SC 29204-2858 | 2020-02-13 |
| Find all providers in COLUMBIA | ||||
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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.