HARD KNOCKS LLC (NPI# 1922526417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922526417 |
| Entity Type | Organization |
| Organization Name | HARD KNOCKS LLC |
| Other Organization Name | PINE VALLEY RCF |
| Practice Address |
3381 1st St Doe Run MO 63637-3155 |
| Mailing Address |
614 Walmart Dr Ste 108 Farmington MO 63640-3315 |
| Practice Telephone | 5737608601 |
| Mailing Telephone | 3144797516 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Authorized Official Name | ROBERT MAKLER (OWNER) |
| Authorized Official Telephone | 5737608601 |
| Is Organization Subpart | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | EL-0996-INIT | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| pine valley rcf | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761434 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 204 Grand Ave, Festus, MO 63028-1842 | 2020-08-20 |
| 1760021844 | Hard Knocks LLC | In Home Supportive Care | 3381 1st St, Doe Run, MO 63637-3155 | 2020-01-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Hard Knocks LLC | 9 Carrie Ct, Fort Morgan, CO 80701 |
| Street Address |
3381 1ST ST |
| City | DOE RUN |
| State | MO |
| Zip Code | 63637-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021844 | Hard Knocks LLC | In Home Supportive Care | 3381 1st St, Doe Run, MO 63637-3155 | 2020-01-06 |
| 1861910440 | Robert Joseph Makler | Nursing Home Administrator | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275936999 | Joyful Strides LLC | Occupational Therapist | 2724 Highway B, Doe Run, MO 63637-3101 | 2014-10-08 |
| 1285754747 | Dennis Crawford | Technician | 2200 Varvera Rd, Doe Run, MO 63637-3121 | 2007-03-30 |
| 1457524761 | Crawford Ranch Boarding Home, LLC | Assisted Living Facility | 2200 Varvera Rd, Doe Run, MO 63637-3121 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275936999 | Joyful Strides LLC | Occupational Therapist | 2724 Highway B, Doe Run, MO 63637-3101 | 2014-10-08 |
| 1285754747 | Dennis Crawford | Technician | 2200 Varvera Rd, Doe Run, MO 63637-3121 | 2007-03-30 |
| 1457524761 | Crawford Ranch Boarding Home, LLC | Assisted Living Facility | 2200 Varvera Rd, Doe Run, MO 63637-3121 | 2008-04-08 |
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1003338328 | Joystar Group Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 748 E 124th St, Kansas City, MO 64146-1100 | 2017-07-07 |
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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.