State Of Missouri in Kansas City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
State Of Missouri - NPI 1386843621
State Of Missouri is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kansas City, Missouri. State Of Missouri practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for State Of Missouri is 1386843621. The last update date is 2020-08-28.
State Of Missouri's current location address is 15555 Little Blue Rd, Kansas City, Missouri. You can contact this provider via phone number 8165127515 and fax number 8165127517. The mailing address for State Of Missouri is 15555 Little Blue Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Missouri |
|---|---|
| Address | 15555 Little Blue Rd, Kansas City, Missouri |
| Phone Number | 8165127515 |
| Fax Number | 8165127517 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Boeckmann Jane Molly |
| Telephone Number | 5737514055 |
NPI Number Detail
| NPI Number | 1386843621 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2020-08-28 |
Provider Mailing Address Detail
| Address | 15555 Little Blue Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 64139 |
| Phone Number | 8165127515 |
| Fax Number | 8165127517 |
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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to State Of Missouri by the Centers for Medicare & Medicaid Services?
The State Of Missouri has been assigned the NPI (National Provider Identifier) 1386843621. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where State Of Missouri is located?
The State Of Missouri is situated at the following address: 15555 Little Blue Rd, Kansas City, MO, 64139.
What is State Of Missouri's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for State Of Missouri is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386843621 to State Of Missouri?
The Centers for Medicare & Medicaid Services originally issued the 1386843621 to State Of Missouri on 2007-07-17.
As of what date was the information regarding State Of Missouri, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to State Of Missouri, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-28.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA