Positive Achievements, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

POSITIVE ACHIEVEMENTS, LLC

Practice address

12713 Highway M
Stark City, MO 64866-8053

Phone

(417) 389-7874

Fax

(417) 472-6948

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By 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

Mary M McCreery

Title

Owner

Phone

(417) 389-7874

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1346711330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 HIGHWAY M",
            "city": "STARK CITY",
            "state": "MO",
            "postal_code": "648668053",
            "telephone_number": "417-389-7874",
            "fax_number": "417-472-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 HIGHWAY M",
            "city": "STARK CITY",
            "state": "MO",
            "postal_code": "648668053",
            "telephone_number": "417-389-7874",
            "fax_number": "417-472-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE ACHIEVEMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MCCREERY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-389-7874"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Harris, NP-C
• Wendy L Linton, LPC
• Cynthia Lungstrum, MSW, LCSW
• Sarah McLain, PT
• Trinity Life Counseling
• Jessee Dylan Walburn
• Steven Wells

• In Home Supportive Care Agency in Stark City, MO
• Providers in Stark City, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.