Twin Lakes Hospice Inc.

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

015-8HO Issued in MO

Legal business name

TWIN LAKES HOSPICE INC.

Practice address

725 E Ohio St
Clinton, MO 64735

Phone

(660) 890-2014

Fax

(660) 890-2018

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tony B Curtis

Title

Executive Director

Phone

(660) 890-2014

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1043203201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352357",
            "telephone_number": "660-890-2014",
            "fax_number": "660-890-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-890-2014",
            "fax_number": "660-890-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-890-2014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "MO",
            "license": "015-8HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82269101",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSOURI",
            "identifier": "129103",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSASA CITY",
            "identifier": "90395017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy S Tracy, PTA
• Kristine Tracy
• Michelle Tremain, FNP-C, PMHNP-BC
• Turn Around Ranch Therapeutic Riding Center
• Twin Lakes Counseling Center
• Tonya Tyler, MSN, RN, PMHNP-BC
• Amanda Sue Underwood, R.N.
• Aneel Ahmed Ursani, M.D.
• Valudental Clinton LLC (Celebrate Dental & Braces)
• Kelly Ann Vaughn, OTR/L

• Hospice Registered Nurse in Clinton, MO
• Providers in Clinton, MO by specialty
• Hospice Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.