SUPPORT PROFESSIONALS II NPI 1902167067

NPI Information

  • NPI: 1902167067
  • Provider Name: SUPPORT PROFESSIONALS II
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: SUPPORT PROFESSIONALS
  • Address: 8540 BLUE RIDGE
    KANSAS CITY, MO
    ZIP 64138
  • Phone: (816) 759-0112

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NPI Details

SUPPORT PROFESSIONALS II 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. SUPPORT PROFESSIONALS II NPI is 1902167067. The provider is registered as an organization entity type.
The provider Is Doing Business As Support Professionals.

The provider's business location address is:

8540 BLUE RIDGE
KANSAS CITY, MO
ZIP 64138
Phone: (816) 759-0112

The provider's authorized official is Patrice Veraguth .
The authorized official title is Administrator and has the following contact phone number (816) 898-7529.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2320900000XCommunity 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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