KCCL LLC NPI 1720739485

NPI Information

  • NPI: 1720739485
  • Provider Name: KCCL LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 3002 LOS MILAGROS
    MISSION, TX
    ZIP 78572
  • Phone: (832) 693-7024

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NPI Details

KCCL LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Mission, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KCCL LLC NPI is 1720739485. The provider is registered as an organization entity type.

The provider's business location address is:

3002 LOS MILAGROS
MISSION, TX
ZIP 78572-580
Phone: (832) 693-7024

The provider's authorized official is Sunday Ntiejumokwu .
The authorized official title is Ceo and has the following contact phone number (832) 693-7024.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 1/14/2022.

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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