Lacey Ann Skelton

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LACEY ANN SKELTON

Doing business as

Hilltop Haven Residential Care Facility

Practice address

18941 CR 305a
Eminence, MO 65466-6268

Phone

(573) 226-5426

Fax

(573) 226-5426

NPI assigned

Oct 6, 2021

Last updated

Nov 8, 2021By 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

Mrs. Lacey A Skelton, LEVEL 1 MED AIDENPI 1457027419

Title

Administrator

Phone

(573) 226-5426

Specialties & licenses 1

Addresses

Other names 1

• Hilltop Haven Residential Care Facility Doing business as

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 1

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.

• Lacey Ann Skelton, LEVEL 1 MED AIDE

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Eminence, MO
  • NPI 1457027419

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1306508593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18941 CR 305A",
            "city": "EMINENCE",
            "state": "MO",
            "postal_code": "654666268",
            "telephone_number": "573-226-5426",
            "fax_number": "573-226-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18941 CR 305A",
            "city": "EMINENCE",
            "state": "MO",
            "postal_code": "654666268",
            "telephone_number": "573-226-5426",
            "fax_number": "573-226-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY ANN SKELTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-226-5426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LEVEL 1 MED AIDE"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilltop Haven Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Leann Fiske, FNP-C
• Sherry K Foster
• Jaime Hampton, CPNP-PC, FNP-C
• Dale E. Haverstick, MD
• Dianna Lavee Keeling, FNP
• Mercy Clinic-Springfield Communities (Mercy Clinic Family Medicine-Eminence)
• Mercy St Francis Hospital (Mercy Clinic Eminence)
• Aaron Miley
• Adam Thomas Montgomery, COTA/L
• Susan M Norris, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.