STATE OF MISSOURI (NPI# 1922207679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922207679 |
Entity Type | Organization |
Organization Name | STATE OF MISSOURI |
Other Organization Name | ESPERANZA GROUP HOME |
Practice Address |
5410 Rinker Rd Kansas City MO 64129-2308 |
Mailing Address |
1706 E Elm St Jefferson City MO 65101-4130 |
Practice Telephone | 8165127515 |
Practice Fax Number | 8165127517 |
Mailing Telephone | 5737513398 |
Mailing Fax Number | 5735264560 |
Enumeration Date | 2007-07-13 |
Last Update Date | 2020-10-27 |
Authorized Official Name | MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES) |
Authorized Official Telephone | 5737514055 |
Is Organization Subpart | Y |
Parent Organization Name | STATE OF MISSOURI |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Esperanza Group Home | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437781499 | State of Missouri | Rehabilitation Counselor | 3418 Knipp Dr, Jefferson City, MO 65109-5701 | 2020-02-07 |
1275073280 | State of Missouri | General Practice | 1547 W Commerce Drive, Marshall, MO 65340-3907 | 2017-02-24 |
1528333085 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N Colorado St, Nevada, MO 64772-1618 | 2012-03-16 |
1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
1366503153 | State of Missouri | Day Training, Developmentally Disabled Services | 471 E Slater St, Marshall, MO 65340 | 2006-12-13 |
1427118033 | State of Missouri | Day Training, Developmentally Disabled Services | 522 Star St, Marshall, MO 65340 | 2006-12-12 |
1902966500 | State of Missouri | Day Training, Developmentally Disabled Services | 504 N Elm St, Marshall, MO 65340 | 2006-12-12 |
Street Address |
5410 RINKER RD |
City | KANSAS CITY |
State | MO |
Zip Code | 64129-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114348307 | Julie Frymyer | Physical Therapist | 1 Arrowhead Dr, Kansas City, MO 64129 | 2013-12-15 |
1114236189 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 6400 E 23rd St, Kansas City, MO 64129 | 2010-09-24 |
1679099527 | Jade Lee Collins | Speech-Language Pathologist | 6400 E 23rd St, Kansas City, MO 64129-1103 | 2017-08-22 |
1245358001 | Jacobs Well of Kansas City Ministries | Counselor | 5910 E Us Highway 40, Kansas City, MO 64129-1153 | 2007-03-27 |
1538291976 | Jacobs Well of Kansas City Ministries | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-03-12 |
1043493497 | Harmony Place,llc | Day Training, Developmentally Disabled Services | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-12-07 |
1083732846 | Jacobs Well of Kansas City Ministries | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-03-27 |
1821656026 | Alec John Nichols | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2019-06-03 |
1134571391 | Alec Stahly | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2016-07-12 |
1255701546 | Tiffany Nicole Morton | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2015-09-30 |
Find all providers in zip 64129 |
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 |
---|---|---|---|---|
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 |
1073174918 | Keith Lavelle Kerr Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2914 N 38th St, Kansas City, KS 66104-2526 | 2019-06-21 |
1801354113 | Assured Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St Ste 609, Kansas City, MO 64110-3543 | 2019-03-05 |
1992269484 | Home Sitter Agency, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St Ste 448, Kansas City, MO 64110-3597 | 2019-01-29 |
1225546724 | Urban Outreach Ministries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11926 E 44th Ter, Kansas City, MO 64133-2005 | 2018-01-18 |
1215454913 | Empowering Lives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4711 Haden Ct, Kansas City, MO 64136 | 2017-08-24 |
1033650742 | Insight Ind Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1001 W 43rd St, Kansas City, MO 64111-4907 | 2017-03-14 |
1134662505 | Focused Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4240 N Spruce Ave, Kansas City, MO 64117-1850 | 2016-12-02 |
1104287150 | Heart To Heart America LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Ne 36th St, Kansas City, MO 64117-2712 | 2016-03-17 |
1952774184 | Joyce's New Vision LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 S 40th St, Kansas City, KS 66106-2607 | 2015-11-10 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64129 |
Please comment or provide details below to improve the information on STATE OF MISSOURI.
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.