Darrell Dewayne Meador Sr.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

612 W Sturdivant St
Advance, MO 63730-8065

Phone

(573) 321-0113

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1023788734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W STURDIVANT ST",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637308065",
            "telephone_number": "573-321-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W STURDIVANT ST",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637308065",
            "telephone_number": "573-321-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "DARRELL",
        "middle_name": "DEWAYNE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Health Care Medical Clinic, Inc
• Haven Health Cares
• Inspiring Relationships Counseling
• Jerrilyn D Adkisson
• Rebecca Darlene Maintz, RPH
• N & R of Advance, Inc. (Advance Nursing Center)
• Phelps in-Home Care, LLC
• Shawna A. Read, MA, CCC-SLP
• Mary Diane Reeves, TEACHER CERTIFICATE
• Miranda D Sauceda

• Home Modifications Contractor in Advance, MO
• Providers in Advance, MO by specialty
• Home Modifications Contractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.