HEAVEN'S HOPE LLC (NPI# 1932706603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932706603 |
Entity Type | Organization |
Organization Name | HEAVEN'S HOPE LLC |
Practice Address |
25300 Rio Road Richland MO 65556 |
Mailing Address |
19642 Longview Rd Waynesville MO 65583-3542 |
Practice Telephone | 5735286527 |
Mailing Telephone | 5735286527 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |
Authorized Official Name | KAREN ANTOINETTE JOHNSON (CO-OWNER) |
Authorized Official Telephone | 5735286527 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Street Address |
25300 RIO ROAD |
City | RICHLAND |
State | MO |
Zip Code | 65556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083964399 | Kimberly Sue Sutton | Speech-Language Pathologist | 400 Tri County, Richland, MO 65556 | 2012-09-13 |
1326234329 | Stockstills Pharmacy Inc | Pharmacy | 104 W Mcclurg Ave, Richland, MO 65556 | 2007-09-24 |
1477606473 | Jan S Harmon Psyd Pa | Clinical Neuropsychologist | 209 Dublin Lane, Richland, MO 65556 | 2007-01-21 |
1952402620 | Hilton Health and Wellness Chiropractic L.L.C. | Chiropractor | 120 W. Mcclurg Ave., Richland, MO 65556 | 2006-09-26 |
1619985959 | Shad Alan Hilton | Chiropractor | 120 W. Mcclurg Ave, Richland, MO 65556 | 2006-08-03 |
1386625788 | Jonk LLC | Durable Medical Equipment & Medical Supplies | 609 W Washington Ave, Richland, MO 65556 | 2005-11-11 |
1972635639 | Mercy Clinic-springfield Communities | Family Medicine | 904 S Pine St, Richland, MO 65556 | 2007-03-09 |
1366958332 | Rachel Fenton | Speech-Language Pathologist | Po Box 756, Richland, MO 65556-0756 | 2017-12-28 |
1982748091 | Richland Care Center, Inc. | Skilled Nursing Facility | 400 Tri-county Lane, Richland, MO 65556-0756 | 2007-02-20 |
1447766621 | Laurie Jo Sparr | Nurse Practitioner | Po Box 777, Richland, MO 65556-0777 | 2017-12-25 |
Find all providers in zip 65556 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
1962995993 | The Bridge Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 6033 Swope Pkwy, Kansas City, MO 64130-4461 | 2018-06-13 |
1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
1568914927 | Clear Creek Counseling | Residential Treatment Facility, Emotionally Disturbed Children | 3646 N Farm Road 89, Willard, MO 65781-8330 | 2016-11-01 |
1619330578 | Farmer Grove Homesteads Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 533 E Bedford St, Marshfield, MO 65706-1218 | 2016-03-29 |
1720447212 | Corner Stones of Care | Residential Treatment Facility, Emotionally Disturbed Children | 300 E 36th St, Kansas City, MO 64111-1410 | 2016-02-12 |
1558729509 | Cayman's House of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 311 N Poplar St, Fair Play, MO 65649-9299 | 2016-02-05 |
1639503691 | Proverb Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 420 Carroll St, Morehouse, MO 63868 | 2013-08-27 |
1306147277 | Fair Haven Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 3132 N Fair Haven Loop, Strafford, MO 65757-8619 | 2010-11-09 |
1437470184 | Ozarks Teen Challenge | Residential Treatment Facility, Emotionally Disturbed Children | 512 Purist Lane, Branson West, MO 65737 | 2010-06-17 |
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.