RUDROFF ISL, LLC (NPI# 1831319177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831319177 |
| Entity Type | Organization |
| Organization Name | RUDROFF ISL, LLC |
| Practice Address |
1207 E Main St Linn MO 65051 |
| Mailing Address |
1205 E Main St Linn MO 65051-2502 |
| Practice Telephone | 5738974700 |
| Practice Fax Number | 5738970256 |
| Mailing Telephone | 5738974700 |
| Mailing Fax Number | 5738970256 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRY MARK RUDROFF (ADMINISTRATOR OWNER) |
| Authorized Official Telephone | 5738974700 |
| 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 | MO | Residential Treatment Facilities |
| Street Address |
1207 E MAIN ST |
| City | LINN |
| State | MO |
| Zip Code | 65051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538616032 | Marcia Heberle | Specialist/Technologist | 141 Wildcat Lane, Linn, MO 65051 | 2016-09-01 |
| 1093805475 | Shawn Kevin Elliott | Chiropractor | 1016 E Main, Linn, MO 65051 | 2006-10-13 |
| 1255640710 | Osage County Clerk | Public Health or Welfare | 205 East Main Street, Linn, MO 65051 | 2010-10-01 |
| 1346443678 | Lois Christine Aquino | Speech-Language Pathologist | 1212 E Main St, Osage County R-2 Schools, Linn, MO 65051 | 2007-06-06 |
| 1053431544 | Osage County Special Services | Case Manager/Care Coordinator | 104 East Main Street, Linn, MO 65051 | 2007-03-30 |
| 1598885931 | Osage County Special Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1006 E Jefferson St, Linn, MO 65051-0319 | 2007-03-30 |
| 1366646630 | Osage Ambulance District | Ambulance | 119 Highway 89 South, Linn, MO 65051-0557 | 2007-06-12 |
| 1881938876 | Arbor Ridge Residential, LLC | Assisted Living Facility | 1409 E Main St, Linn, MO 65051-2501 | 2012-11-15 |
| 1083661615 | Jefferson City Medical Group, P.C. | Family Medicine | 1306 E Main St, Linn, MO 65051-2503 | 2006-05-28 |
| 1487086740 | Sara Marie King | Speech-Language Pathologist | 1212 E Main St, Special Services, Linn, MO 65051-2504 | 2013-08-08 |
| Find all providers in zip 65051 | ||||
| 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 |
|---|---|---|---|---|
| 1336222173 | Osage County Community Living, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1006 E Jefferson St, Linn, MO 65051-9710 | 2006-10-23 |
| 1598885931 | Osage County Special Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1006 E Jefferson St, Linn, MO 65051-0319 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| 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.