CLINT THEBEAU (NPI# 1861979718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861979718 |
Entity Type | Individual |
Full Name | CLINT THEBEAU |
Practice Address |
1276 W Liberty St Farmington MO 63640 |
Mailing Address |
1276 W Liberty St Farmington MO 63640-1990 |
Practice Telephone | 5736641722 |
Mailing Telephone | 5736641722 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | MO | Agencies |
Street Address |
1276 W LIBERTY ST |
City | FARMINGTON |
State | MO |
Zip Code | 63640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043798523 | Thebeau Inc | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640-1990 | 2018-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
1306345368 | Joy Wolfe | Nurse Practitioner | 850 Maple Valley Drive, Farmington, MO 63640 | 2018-02-06 |
Find all providers in zip 63640 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649819780 | Bright Care Services | In Home Supportive Care | 7 Dogwood Ln, Farmington, CT 06032-1005 | 2020-01-06 |
1174096689 | Humanistic Care, LLC | In Home Supportive Care | 24062 Merrilyn Ct, Farmington, MI 48336-2332 | 2019-01-08 |
1235655879 | Define Supports Professional Organization | In Home Supportive Care | 18830 English Ave, Farmington, MN 55024-8962 | 2017-08-15 |
1962949537 | L.i.f.e., Inc. | In Home Supportive Care | 725 E Karsch Blvd, Farmington, MO 63640-3006 | 2017-01-20 |
1548500044 | Above All In Home Care Services | In Home Supportive Care | 3045 Caledonia Dr, Farmington, MN 55024-1491 | 2013-02-20 |
1205100658 | Links II Inc | In Home Supportive Care | 1313 E Navajo St, Farmington, NM 87401 | 2012-03-02 |
1649584152 | Options Services, Inc. | In Home Supportive Care | 4001 N Butler Ave Ste 8101, Farmington, NM 87401-2442 | 2010-07-27 |
1295979888 | Benguy, LLC Dba Synergy Homecare | In Home Supportive Care | 33314 Grand River Ave, Farmington, MI 48336-3124 | 2009-04-27 |
1528200250 | New Freedom Private Care, Inc. | In Home Supportive Care | 2909 E 20th St, Suite B, Farmington, NM 87402-4405 | 2009-03-26 |
1124685136 | Athena Home Health LLC | In Home Supportive Care | 135 South Rd, Farmington, CT 06032-2556 | 2019-05-24 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 63640 |
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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.