Equilibrium Ranch

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

EQUILIBRIUM RANCH

Practice address

81 Pilkenton LN
Cuba, MO 65453-8136

Phone

(573) 885-6443

Fax

(844) 851-0578

NPI assigned

Oct 27, 2021

Last updated

Jan 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian B SheltonNPI 1063396174

Title

Owner

Phone

(314) 580-3029

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Remo, MD

  • Internal Medicine Physician
  • Sullivan, MO
  • NPI 1598876450
  Medicare reassignment Care Compare group NPD
• Lorna Alise Vaughn, LPC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1134711088
  Medicare reassignment Care Compare group NPD
• Barbara Appleman Graham, FNP-BC

  • Family Nurse Practitioner
  • Decatur, IL
  • NPI 1922566777

  MO

  Medicare reassignment NPD
• Christian Shelton

  • Case Manager/Care Coordinator
  • Cuba, MO
  • NPI 1063396174
  NPD Authorized official
• Bridgette Little, PLPC

  • Mental Health Counselor
  • Cuba, MO
  • NPI 1558243394
  NPD
• Marvin Shelton, ED.S, ED.D, RSAP

  • Clinic/Center
  • Hazelwood, MO
  • NPI 1003364969

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1285398024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PILKENTON LN",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654538136",
            "telephone_number": "573-885-6443",
            "fax_number": "844-851-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PILKENTON LN",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654538136",
            "telephone_number": "573-885-6443",
            "fax_number": "844-851-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-580-3029"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crawford Co R-II
• Cuba Manor, Inc. (Cuba Manor)
• Thomas Edward Diehl, RPH
• Jennifer Duncan, COTA
• Michelle M. Englert, FNP-C
• Shayla M Farris
• Susan Marie Frago, RN
• Donald James Fuchs, DDS
• Thomas L. Gibbon, DO
• Grace Gardens, LLC

• Assisted Living Facility (Mental Illness) in Cuba, MO
• Providers in Cuba, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.