MELISSA A. STEWART – NPI #1417214610
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

MELISSA STEWART is a community based residential treatment facility located in SIKESTON, MO. NPPES has assigned the NPI number 1417214610 to MELISSA STEWART on April 12, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 11 years ago on Sep 15, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MELISSA STEWART below.

NPI Profile for
MELISSA A. STEWART

NPI Number
1417214610
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MELISSA A. STEWART
Primary location
106 DACUS DR
SIKESTON, MO 63801-9013
Phone: (573) 471-4219 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for MELISSA STEWART

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPIMO1629195607
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
MO EC2-0290-1011

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.