KIDZ CONNECTION GROUP HOME NPI 1740489517

NPI Information

NPI: 1740489517
Provider Name: KIDZ CONNECTION GROUP HOME

Doing Business As: JACKSON STYLE AGENCY

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
11815 BEACON AVE
KANSAS CITY, MO
ZIP 64134
Phone: (816) 763-8335
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KIDZ CONNECTION GROUP HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Kansas City, 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. KIDZ CONNECTION GROUP HOME NPI is 1740489517. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Style Agency.

The provider's business location address is:

11815 BEACON AVE
KANSAS CITY, MO
ZIP 64134-708
Phone: (816) 763-8335
Fax: (816) 765-9987

The provider's authorized official is Cleotha Jackson .
The authorized official title is Asst. Administrator and has the following contact phone number (816) 765-9990.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.

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
1	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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