HILDA FUWELL'S RESIDENTIAL CARE LLC (NPI# 1992028112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992028112 |
Entity Type | Organization |
Organization Name | HILDA FUWELL'S RESIDENTIAL CARE LLC |
Other Organization Name | ADAPTIVE SERVICES |
Practice Address |
900 South One Mile Road Dexter MO 63841 |
Mailing Address |
17382 State Highway 25 Dexter MO 63841-9710 |
Practice Telephone | 5736144191 |
Practice Fax Number | 5735682314 |
Mailing Telephone | 5735682056 |
Mailing Fax Number | 5735682314 |
Enumeration Date | 2010-03-02 |
Last Update Date | 2010-03-02 |
Authorized Official Name | TERESA A ALLEN (OWNER) |
Authorized Official Telephone | 5735682056 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Adaptive Services | Doing Business As Name - Organization |
Street Address |
900 SOUTH ONE MILE ROAD |
City | DEXTER |
State | MO |
Zip Code | 63841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
1477732659 | Gautam Jayaswal | Emergency Medicine | Southeast Health Center of Stoddard County, 1200 N 1 Mile Rd, Dexter, MO 63841 | 2007-10-24 |
Find all providers in zip 63841 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255789806 | Tlc Adult Day Center Dexter, LLC | Clinic/Center | 812 W Oak St, Dexter, MO 63841-1021 | 2016-05-24 |
1265804256 | Cambridge Adult Day Center-dexter | Clinic/Center | 812 W Oak St, Dexter, MO 63841-1021 | 2015-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915910 | Lori Ann Williams | Clinic/Center | 6719 W Florissant Ave, Saint Louis, MO 63136-3634 | 2020-09-07 |
1376155390 | A Adult Day Care Inc | Clinic/Center | 6201 Michigan Ave, Saint Louis, MO 63111-2546 | 2020-08-20 |
1003434630 | Sierra Meeks | Clinic/Center | 6826 Chesapeake Dr Apt B, Florissant, MO 63033-5237 | 2020-07-09 |
1063038016 | America Elderly Care LLC | Clinic/Center | 5701 Longview Rd, Kansas City, MO 64137-2728 | 2020-06-24 |
1083235709 | Ann's Touch Adult Daycare LLC | Clinic/Center | 1514 Goodfellow Blvd, Saint Louis, MO 63112-3828 | 2020-05-04 |
1104452317 | Above & Beyond International | Clinic/Center | 10522 Grandview Rd, Kansas City, MO 64137-1624 | 2020-03-19 |
1134753593 | Friends of The St. Clair County Senior Center | Clinic/Center | 5345 Bus Hwy 13 Ne, Osceola, MO 64776 | 2020-02-25 |
1871124438 | Angels At Work Adult Daycare LLC | Clinic/Center | 7058 W Florissant Ave, Saint Louis, MO 63136-2561 | 2020-01-31 |
1346889789 | Inspiring Angels Adult Daycare Inc | Clinic/Center | 6827 Howdershell Rd, Hazelwood, MO 63042-1213 | 2020-01-02 |
1992341275 | Abba Hands Adult Daycare LLC | Clinic/Center | 12523 Missouri Bottom Rd, Hazelwood, MO 63042-1561 | 2019-11-21 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on HILDA FUWELL'S RESIDENTIAL CARE LLC.
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.