MRS. FLORENCE DENISE RAINEY HICKS (NPI# 1992970107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992970107 |
| Entity Type | Individual |
| Full Name | MRS. FLORENCE DENISE RAINEY HICKS |
| Practice Address |
1501 Lambeth Dr Columbia MO 65202-2462 |
| Mailing Address |
1024 Vegas Dr Columbia MO 65203-1450 |
| Practice Telephone | 5732191414 |
| Practice Fax Number | 5732561915 |
| Mailing Telephone | 5732191414 |
| Mailing Fax Number | 5732561519 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
| Street Address |
1501 LAMBETH DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| 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 |
|---|---|---|---|---|
| 1285257816 | The Behavior Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Cardington Ct, Columbia, SC 29209-3241 | 2020-05-18 |
| 1891213690 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 46 Koeck Rd, Columbia, NJ 07832-2007 | 2017-09-01 |
| 1124561907 | Eric Vahle | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3611 Wakefield Dr, Columbia, MO 65203-4462 | 2016-11-28 |
| 1104201540 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 288 Route 94, Columbia, NJ 07832 | 2015-07-28 |
| 1952781866 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Route 94, Columbia, NJ 07832-2771 | 2015-06-05 |
| 1699076711 | Independent Living Concepts, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2704 Andy Dr, Columbia, MO 65202-2012 | 2010-11-05 |
| 1699082743 | Fidelis Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3905 Faurot Dr, Columbia, MO 65203-0309 | 2010-09-10 |
| 1801121397 | Integrated Lifestyles LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 Bourn Ave, Columbia, MO 65203-1459 | 2009-10-16 |
| 1922243955 | Robert Verdell Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2401 Edmonds Ct, Columbia, MO 65203-8465 | 2008-12-04 |
| 1952574063 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Highway 4 E, Columbia, LA 71418-3512 | 2008-04-09 |
| Find all providers in COLUMBIA | ||||
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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.