Side By Side Ii, Inc. in Raytown - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Side By Side Ii, Inc. - NPI 1740463231
Side By Side Ii, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Raytown, Missouri. Side By Side Ii, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Side By Side Ii, Inc. is 1740463231. The last update date is 2007-12-07.
Side By Side Ii, Inc.'s current location address is 6612 Blue Ridge Boulevard, Raytown, Missouri. You can contact this provider via phone number 8163560923 and fax number 8163560925. The mailing address for Side By Side Ii, Inc. is 6612 Blue Ridge Boulevard, Raytown, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Side By Side Ii, Inc. |
|---|---|
| Address | 6612 Blue Ridge Boulevard, Raytown, Missouri |
| Phone Number | 8163560923 |
| Fax Number | 8163560925 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Weisenborn L Laura |
| Telephone Number | 8163560923 |
NPI Number Detail
| NPI Number | 1740463231 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 6612 Blue Ridge Boulevard |
|---|---|
| City | Raytown |
| State | Missouri (MO) |
| Post Code | 64133 |
| Phone Number | 8163560923 |
| Fax Number | 8163560925 |
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 |
|---|---|---|---|
| 8558833401 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Side By Side Ii, Inc. by the Centers for Medicare & Medicaid Services?
The Side By Side Ii, Inc. has been assigned the NPI (National Provider Identifier) 1740463231 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Side By Side Ii, Inc. is physically located?
The Side By Side Ii, Inc. is physically situated at the following address: 6612 Blue Ridge Boulevard, Raytown, MO, 64133.
What is Side By Side Ii, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Side By Side Ii, Inc.'s specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740463231 to Side By Side Ii, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1740463231 to Side By Side Ii, Inc. on 2007-12-07.
When was the Side By Side Ii, Inc.'s information last updated?
The Side By Side Ii, Inc.'s information was last updated on 2007-12-07.
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