Mracles Residential Care Llc-Miller House in Kansas City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mracles Residential Care Llc-Miller House - NPI 1952427155
Mracles Residential Care Llc-Miller House is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kansas City, Missouri. Mracles Residential Care Llc-Miller House practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mracles Residential Care Llc-Miller House is 1952427155. The last update date is 2014-03-25.
Mracles Residential Care Llc-Miller House's current location address is 1124 E 79th St, Kansas City, Missouri. You can contact this provider via phone number 8164377027. The mailing address for Mracles Residential Care Llc-Miller House is 1124 E 79th St, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mracles Residential Care Llc-Miller House |
|---|---|
| Address | 1124 E 79th St, Kansas City, Missouri |
| Phone Number | 8164377027 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Carlisle Renee Dedree |
| Telephone Number | 8165218896 |
NPI Number Detail
| NPI Number | 1952427155 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2014-03-25 |
Provider Mailing Address Detail
| Address | 1124 E 79th St |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641311967 |
| Phone Number | 8164377027 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 856273107 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mracles Residential Care Llc-Miller House by the Centers for Medicare & Medicaid Services?
The Mracles Residential Care Llc-Miller House has been issued the NPI (National Provider Identifier) 1952427155 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mracles Residential Care Llc-Miller House's physical address?
The Mracles Residential Care Llc-Miller House is physically located at 1124 E 79Th St, in the city of Kansas City, MO, with the postal code 641311967.
What is the area of specialization for Mracles Residential Care Llc-Miller House, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mracles Residential Care Llc-Miller House is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952427155 to Mracles Residential Care Llc-Miller House?
The Centers for Medicare & Medicaid Services assigned the 1952427155 to Mracles Residential Care Llc-Miller House on 2007-03-21.
When was the information pertaining to Mracles Residential Care Llc-Miller House most recently updated or revised?
The details related to Mracles Residential Care Llc-Miller House, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-25.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL