JACOBS WELL OF KANSAS CITY MINISTRIES (NPI# 1538291976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538291976 |
| Entity Type | Organization |
| Organization Name | JACOBS WELL OF KANSAS CITY MINISTRIES |
| Other Organization Name | JACOBS WELL OF KANSAS CITY MINISTRIES |
| Practice Address |
5921 E 31st St Kansas City MO 64129-1163 |
| Practice Telephone | 8167372557 |
| Mailing Telephone | 8167372557 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KAREN RENEE ALLEN (PRESIDENT EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8167372557 |
| Authorized Official Credential | NCC LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Jacobs Well of Kansas City Ministries | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245358001 | Jacobs Well of Kansas City Ministries | Counselor | 5910 E Us Highway 40, Kansas City, MO 64129-1153 | 2007-03-27 |
| 1083732846 | Jacobs Well of Kansas City Ministries | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-03-27 |
| Street Address |
5921 E 31ST ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64129-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043493497 | Harmony Place,llc | Day Training, Developmentally Disabled Services | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-12-07 |
| 1083732846 | Jacobs Well of Kansas City Ministries | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114348307 | Julie Frymyer | Physical Therapist | 1 Arrowhead Dr, Kansas City, MO 64129 | 2013-12-15 |
| 1114236189 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 6400 E 23rd St, Kansas City, MO 64129 | 2010-09-24 |
| 1679099527 | Jade Lee Collins | Speech-Language Pathologist | 6400 E 23rd St, Kansas City, MO 64129-1103 | 2017-08-22 |
| 1245358001 | Jacobs Well of Kansas City Ministries | Counselor | 5910 E Us Highway 40, Kansas City, MO 64129-1153 | 2007-03-27 |
| 1821656026 | Alec John Nichols | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2019-06-03 |
| 1134571391 | Alec Stahly | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2016-07-12 |
| 1255701546 | Tiffany Nicole Morton | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2015-09-30 |
| 1174947287 | David Glover II | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2014-02-10 |
| 1225452519 | Nicholas Potter | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2014-02-07 |
| 1548684749 | Evan Craft | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2014-02-07 |
| Find all providers in zip 64129 | ||||
| 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 |
| 1275866881 | Charles Mutumba | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9807 Wornall Rd, #d, Kansas City, MO 64114-3986 | 2009-09-14 |
| 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 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64129 |
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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.