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MISS SOPHIA MARILYN CHAMBERLAIN NPI 1568755312


NPI Information

NPI: 1568755312
Provider Name: MISS SOPHIA MARILYN CHAMBERLAIN
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
10635 FLOYD ST
OVERLAND PARK, KS
ZIP 66212
Phone: (816) 337-2799
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MISS Sophia Marilyn Chamberlain is a community based residential treatment facility, intellectual and/or developmental disabilities in Overland Park, KS. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MISS Sophia Marilyn Chamberlain NPI is 1568755312. 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:

10635 FLOYD ST
OVERLAND PARK, KS
ZIP 66212-548
Phone: (816) 337-2799

The enumeration date for this NPI number is 5/25/2011 and was last updated on 5/25/2011.


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 Disabilities856178603MISSOURINo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities856243308MISSOURINo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities856142906MISSOURINo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities856348404MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396862298MEDICAIDMISSOURI
21164601563MEDICAIDMISSOURI
31043337942MEDICAIDMISSOURI
41609992635MEDICAIDMISSOURI

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.