NICOLE DELORES HENSON NPI 1013204544

NPI Information

  • NPI: 1013204544
  • Provider Name: NICOLE DELORES HENSON
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 9310 NW 59TH TER
    PARKVILLE, MO
    ZIP 64152
  • Phone: (913) 909-5205

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NPI Details

Nicole Delores Henson is a community based residential treatment facility, intellectual and/or developmental disabilities in Parkville, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Nicole Delores Henson NPI is 1013204544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9310 NW 59TH TER
PARKVILLE, MO
ZIP 64152-536
Phone: (913) 909-5205

The enumeration date for this NPI number is 7/5/2011 and was last updated on 8/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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