JASPER COUNTY SHELTERED FACILITIES ASSOC (NPI# 1881718898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881718898 |
| Entity Type | Organization |
| Organization Name | JASPER COUNTY SHELTERED FACILITIES ASSOC |
| Other Organization Name | COMMUNITY SUPPORT SERVICES OF MO |
| Practice Address |
1923 Wynwood Dr Carthage MO 64836-3353 |
| Practice Telephone | 4173598055 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JHAN R HURN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4176244515 |
| 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 |
| Other Name | Type Code |
|---|---|
| Community Support Services of Mo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487778155 | Jasper County Sheltered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
| 1043334717 | Jasper County Sheltered Facilities Assoc | Day Training, Developmentally Disabled Services | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
| 1306960075 | Jasper County Sheltered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2312 Annie Baxter Ave, Joplin, MO 64804-0329 | 2007-03-19 |
| Street Address |
1923 WYNWOOD DR |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1942324041 | Jasper County Shetlered Facilities Assoc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2147 Forest Dr, Carthage, MO 64836-3673 | 2007-03-16 |
| 1083739023 | Sunshine Childens Home, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9215 County Lane 175, Carthage, MO 64836-8812 | 2007-03-20 |
| 1710002761 | Sunshinechildrenshomeinc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9215 County Lane 175, Carthage, MO 64836-8812 | 2007-03-20 |
| 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 |
| 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 |
| 1477112092 | Gray Matters Alliance LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 W Pitman St, O Fallon, MO 63366-2819 | 2019-06-07 |
| 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.