ADULT LIFE CARE CENTER LLC (NPI# 1396263075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396263075 |
| Entity Type | Organization |
| Organization Name | ADULT LIFE CARE CENTER LLC |
| Practice Address |
11517 Hickman Mills Dr # Ab Kansas City MO 64134-4210 |
| Mailing Address |
8607 Maple Ave Raytown MO 64138-3358 |
| Practice Telephone | 8168449374 |
| Mailing Telephone | 8162663057 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | SHANTIC BANDY (DIRECTOR) |
| Authorized Official Telephone | 8162663057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1443 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ADULT DAY CARE LICENSE NUMBER | 1443 | 01 |
| Street Address |
11517 HICKMAN MILLS DR # AB |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64134-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376852863 | Carla Janeen Burdette | Speech-Language Pathologist | 10900 Marsh Ave., Kansas City, MO 64134 | 2010-09-30 |
| 1982733606 | Susan B Kivett | Counselor | 6801 E 117th Street, Kansas City, MO 64134 | 2007-03-06 |
| 1245392463 | Leanora Elizabeth Barreca | Counselor | 10918 Elm Ave., Ks Kansas City, MO 64134 | 2006-12-14 |
| 1700953064 | Marcia Smith Hutchins | Social Worker | 11108 Applewood Dr, Kansas City, MO 64134 | 2006-11-29 |
| 1174531016 | Tanya Elizabeth Feldkamp | Chiropractor | 11720 Blue Ridge Blvd, Kansas City, MO 64134 | 2006-08-04 |
| 1457316515 | Raghuvardhan Davalapur | Psychiatry & Neurology | 10918 Elm Avenue, Critttenton Childrens Center, Kansas City, MO 64134 | 2006-04-19 |
| 1952379950 | Take Care Health Missouri, PC | Nurse Practitioner | 7003 East Bannister Road, Kansas City, MO 64134 | 2006-03-08 |
| 1437142627 | Anne Wetherill Davis | Psychiatry & Neurology | 10918 Elm, Kansas City, MO 64134 | 2005-08-24 |
| 1750945150 | Emily Sawyer | Registered Nurse | 10918 Elm Ave Ste 102, Kansas City, MO 64134 | 2019-05-01 |
| 1265989032 | Kelsey Lea Janvier | Counselor | 10918 Elm Ave Ste 102, Kansas City, MO 64134 | 2016-09-08 |
| Find all providers in zip 64134 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038016 | America Elderly Care LLC | Clinic/Center | 5701 Longview Rd, Kansas City, MO 64137-2728 | 2020-06-24 |
| 1104452317 | Above & Beyond International | Clinic/Center | 10522 Grandview Rd, Kansas City, MO 64137-1624 | 2020-03-19 |
| 1770132672 | Dignified Adult Day Care, LLC | Clinic/Center | 11218 Hickman Mills Dr, Kansas City, MO 64134-4203 | 2019-09-04 |
| 1265909642 | Garrett's Adult Day Care Program LLC | Clinic/Center | 8550 Holmes Rd Ste 131, Kansas City, MO 64131-3288 | 2018-10-24 |
| 1801385604 | Monday Egbedeju | Clinic/Center | 3645 N Wayne Ave, Kansas City, MO 64116-2312 | 2018-05-07 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1851728695 | Kc Adult Recreation Center Inc. | Clinic/Center | 1109 N 5th St, Kansas City, KS 66101-2305 | 2013-10-10 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64134 |
Please comment or provide details below to improve the information on ADULT LIFE CARE CENTER LLC.
| 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.