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COMMUNITY ACCESS NPI 1033383641


NPI Information

NPI: 1033383641
Provider Name: COMMUNITY ACCESS

Other Name: LS GROUP HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1402 S LEES SUMMIT RD
INDEPENDENCE, MO
ZIP 64050
Phone: (816) 257-7222
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COMMUNITY ACCESS is a community based residential treatment facility, intellectual and/or developmental disabilities in Independence, 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. COMMUNITY ACCESS NPI is 1033383641. The provider is registered as an organization entity type.
The provider Other Name Is Ls Group Home.

The provider's business location address is:

1402 S LEES SUMMIT RD
INDEPENDENCE, MO
ZIP 64050-117
Phone: (816) 257-7222
Fax: (816) 257-7188

The provider's authorized official is Kelly Lynne Taula .
The authorized official title is Office Manager and has the following contact phone number (816) 257-7222.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities8000787MISSOURIYes

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: 4/28/2024

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