Lacey Ann Skelton
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eminence, MO
NPI 1306508593 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1306508593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- LACEY ANN SKELTON
- Practice address
- 18941 CR 305a
Eminence, MO 65466-6268 - Phone
- (573) 226-5426
- Fax
- (573) 226-5426
- NPI assigned
- Oct 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lacey A Skelton, LEVEL 1 MED AIDE
- Title
- Administrator
- Phone
- (573) 226-5426
Practitioners 1
-
Lacey Ann Skelton, LEVEL 1 MED AIDE
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2120786 | Hilltop Haven Residential Care Facility | Certificate of waiver | Oct 24, 2026 |
National Provider Directory
Locations
18941 CR 305a
Eminence, MO 65466
Phone (573) 226-5426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
18941 CR 305a
Eminence, MO 65466-6268
Mailing address
18941 CR 305a
Eminence, MO 65466-6268
Phone (573) 226-5426
Other names
- Hilltop Haven Residential Care Facility
Other providers in Eminence, MO
- Stacy Leann Fiske
- Sherry K Foster
- Jaime Hampton
- Dale E. Haverstick
- Dianna Lavee Keeling
- Mercy Clinic-Springfield Communities
- Mercy St Francis Hospital
- Aaron Miley
- Adam Thomas Montgomery
- Susan M Norris
All providers in Eminence, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.