Provider Type Icon

GARDEN OF SUCCESS LLC NPI 1073760492


NPI Information

NPI: 1073760492
Provider Name: GARDEN OF SUCCESS LLC

Doing Business As: SUPPORT PROFESSIONALS

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
18813 E 25TH ST S
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 353-6500
Get Directions

GARDEN OF SUCCESS LLC is a residential treatment facility, intellectual and/or developmental disabilities in Independence, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GARDEN OF SUCCESS LLC NPI is 1073760492. The provider is registered as an organization entity type.
The provider Is Doing Business As Support Professionals.

The provider's business location address is:

18813 E 25TH ST S
INDEPENDENCE, MO
ZIP 64057-467
Phone: (816) 353-6500
Fax: (816) 353-6502

The provider's authorized official is Patrice Wanetta Dumas .
The authorized official title is Administrator and has the following contact phone number (816) 353-6500.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 8/27/2008.


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
1320600000XResidential 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.