Hard Knocks LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HARD KNOCKS LLC

Doing business as

Magnolia House

Practice address

204 Grand Ave
Festus, MO 63028-1842

Phone

(636) 933-0662

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By 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

Sandy Buchanan

Title

Owner

Phone

(314) 330-0434

Specialties & licenses 1

Addresses

Other names 1

• Magnolia House 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

Tax ID family

Hard Knocks LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hard Knocks LLC

  dba There's No Place Like HomeCare

  • In Home Supportive Care Agency
  • Doe Run, MO
  • NPI 1760021844
  NPD tax ID
• Hard Knocks LLC

  dba pine valley rcf

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Doe Run, MO
  • NPI 1922526417
  NPD tax ID

Locations

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1437761434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 WALMART DR STE 108",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403315",
            "telephone_number": "314-330-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GRAND AVE",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281842",
            "telephone_number": "636-933-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARD KNOCKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-330-0434"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Hagedorn, RN
• Jenna Christine Hale, M.S.CCC/SLP
• Monica Renee Hallquist, NP
• Jesse Joe Hanisch, M.D., PH.D.
• Rick Hanna
• Andrew Harrelson, MD
• Tamera Lynn Harris
• Franklin W Harry, DPM
• Lindsay Nicole Hartman, MA, LPC
• Syed Mojiz Ul Hasan, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.