CENTER FOR DEVELOPMENTALLY DISABLED (NPI# 1962535211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962535211 |
| Entity Type | Organization |
| Organization Name | CENTER FOR DEVELOPMENTALLY DISABLED |
| Practice Address |
1010 W 39th St Kansas City MO 64111-3880 |
| Practice Telephone | 8165310045 |
| Practice Fax Number | 8167565612 |
| Mailing Telephone | 8165310045 |
| Mailing Fax Number | 8167565612 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JIM J JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8165310045 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1679606008 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1962789917 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2011-11-04 |
| 1326171679 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1235262585 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1144353491 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1053444307 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1689707937 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1497888747 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1306979653 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| Street Address |
1010 W 39TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679606008 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1962789917 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2011-11-04 |
| 1326171679 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1235262585 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1144353491 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1053444307 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1689707937 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1497888747 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| 1306979653 | Center for Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1010 W 39th St, Kansas City, MO 64111-3880 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 |
| 1215454913 | Empowering Lives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4711 Haden Ct, Kansas City, MO 64136 | 2017-08-24 |
| 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 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on CENTER FOR DEVELOPMENTALLY DISABLED.
| 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.