EMPOWERING LIVES, LLC (NPI# 1215454913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215454913 |
| Entity Type | Organization |
| Organization Name | EMPOWERING LIVES, LLC |
| Practice Address |
4711 Haden Ct Kansas City MO 64136 |
| Mailing Address |
4711 Haden Ct Kansas City MO 64136-1366 |
| Practice Telephone | (803) 420-1224 |
| Mailing Telephone | 8034201224 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | SHAWN DEVLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8034201224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
4711 HADEN CT |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881075356 | Carminya Lynette Turner-ivory | Chiropractor | 15740 E Us Highway 40, Suite B, Kansas City, MO 64136-1100 | 2015-06-10 |
| 1154522720 | Tiffany's Adult Day Care Center LLC | Clinic/Center | 16021 E Us Highway 40, Kansas City, MO 64136-1118 | 2007-05-30 |
| 1982883179 | Care By Cassie Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15010 E 51st St, Kansas City, MO 64136-1142 | 2007-10-24 |
| 1770967929 | Care By Cassie, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15010 E 51st St, Kansas City, MO 64136-1142 | 2015-07-17 |
| 1811370406 | Cassandra M Clark-wheeler | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15010 E 51st St, Kansas City, MO 64136-1142 | 2015-07-01 |
| 1679650295 | Larry D Pribyl Dds PC | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2006-11-01 |
| 1154586220 | Angela Marie Sullivan | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2008-07-28 |
| 1205059599 | Samuel Joseph Huckabee | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-11 |
| 1932322245 | Huckabee & Huckabee Dds | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-11 |
| 1427271725 | Melanie J Huckabee | Dentist | 4701 Logan Ave, Kansas City, MO 64136-1161 | 2007-04-11 |
| Find all providers in zip 64136 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1073174918 | Keith Lavelle Kerr Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2914 N 38th St, Kansas City, KS 66104-2526 | 2019-06-21 |
| 1801354113 | Assured Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St Ste 609, Kansas City, MO 64110-3543 | 2019-03-05 |
| 1992269484 | Home Sitter Agency, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1734 E 63rd St Ste 448, Kansas City, MO 64110-3597 | 2019-01-29 |
| 1225546724 | Urban Outreach Ministries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11926 E 44th Ter, Kansas City, MO 64133-2005 | 2018-01-18 |
| 1033650742 | Insight Ind Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1001 W 43rd St, Kansas City, MO 64111-4907 | 2017-03-14 |
| 1134662505 | Focused Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4240 N Spruce Ave, Kansas City, MO 64117-1850 | 2016-12-02 |
| 1104287150 | Heart To Heart America LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Ne 36th St, Kansas City, MO 64117-2712 | 2016-03-17 |
| 1952774184 | Joyce's New Vision LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 S 40th St, Kansas City, KS 66106-2607 | 2015-11-10 |
| 1528430188 | Sheryl Crow | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1606 Ne 113th Ter, Kansas City, MO 64155-2923 | 2015-10-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64136 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.