Morgan County Targeted Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MORGAN COUNTY TARGETED CASE MANAGEMENT

Practice address

105 N Fisher St
Versailles, MO 65084-1201

Phone

(573) 286-2538

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kevin S Gaeddert

Title

Executive Director

Phone

(573) 286-2538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1861702052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650840405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N FISHER ST",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841201",
            "telephone_number": "573-286-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY TARGETED CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "GAEDDERT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-286-2538",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Lepley, PTA
• Shanon K Luke, MD
• Destiny Almajo Maben, COTA/L
• Hanna Michels, PT
• Morgan County Health Center
• Morning Song Isl Services LLC
• Brenda M. Nairn, D.C.
• New Hope Home Care LLC
• Stephanie R Nicholson, FNP-C
• Sharon Louise Patton, PTA

• Case Management Agency in Versailles, MO
• Providers in Versailles, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.