Missouri Quality Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1576-9788 Issued in MO

Legal business name

MISSOURI QUALITY CARE

Practice address

215 S Walnut St
Cameron, MO 64429-2265

Phone

(816) 632-3773

Fax

(816) 632-3335

NPI assigned

Mar 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeff Tyler Thornton

Title

Administrator

Phone

(816) 632-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossroads Country Home Other name

Tax ID family

Crossroads Country Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Missouri Quality Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cameron, MO
  • NPI 1164844676
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1003934126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292265",
            "telephone_number": "816-632-3773",
            "fax_number": "816-632-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292265",
            "telephone_number": "816-632-3773",
            "fax_number": "816-632-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-632-3773"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1576-9788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857883508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Country Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Anthony Matthews, MD
• Maxicare Inc
• Betsy Anne Fox McClure, DO
• Byron D McClure II, DO
• Robert Paul McGraw Jr., DDS
• Missouri Quality Care
• Missouri Veterans Commission
• Michelle Mitchell
• MLD Healthcare LLC
• Leasa A Moore Simerly, PTA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cameron, MO
• Providers in Cameron, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.