CHARLES MUTUMBA (NPI# 1275866881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275866881 |
| Entity Type | Individual |
| Full Name | CHARLES MUTUMBA |
| Practice Address |
9807 Wornall Rd #d Kansas City MO 64114-3986 |
| Practice Telephone | 8165897475 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
9807 WORNALL RD #D |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1003338328 | Joystar Group Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 748 E 124th St, Kansas City, MO 64146-1100 | 2017-07-07 |
| 1508190562 | Anything Is Possible | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8308 E 93rd St, Kansas City, MO 64138-4609 | 2009-09-23 |
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1033375316 | Inga's Place, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11601 Bennington Ave, Kansas City, MO 64134-3714 | 2008-08-05 |
| 1245404953 | Aleisa Horne | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8304 E 91st St, Kansas City, MO 64138-4347 | 2008-04-15 |
| 1972776789 | Hope Care Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11704 Winchester Ave Apt 3, Kansas City, MO 64134-3831 | 2008-04-12 |
| 1649443664 | Greater Kansas City Foundation for Citizens With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 N White Ave, Kansas City, MO 64123-1556 | 2008-04-10 |
| 1467625483 | Greater Kansas City Foundation for Citizens With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3219 Lexington Ave, Kansas City, MO 64124-1949 | 2008-04-10 |
| 1407032311 | Greater Kansas City Foundation for Citizens W/disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4111 E 100th Ter, Kansas City, MO 64137-1403 | 2008-01-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.