ALTAR SUPPORT INC NPI 1588105092

NPI Information

NPI: 1588105092
Provider Name: ALTAR SUPPORT, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2750 N 87TH ST
KANSAS CITY, KS
ZIP 66109
Phone: (913) 915-1380
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ALTAR SUPPORT, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Kansas City, 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. ALTAR SUPPORT, INC NPI is 1588105092. The provider is registered as an organization entity type.

The provider's business location address is:

2750 N 87TH ST
KANSAS CITY, KS
ZIP 66109-437
Phone: (913) 915-1380

The provider's authorized official is Derek Dewayne Vann .
The authorized official title is President and has the following contact phone number (913) 915-1380.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 3/16/2017.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
3	320700000X	Residential Treatment Facility, Physical Disabilities	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness	No
5	347C00000X	Private Vehicle	No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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

NPI Synchronization or Removal

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