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OUR HOUSE MY HOUSE KC INC. NPI 1770859324


NPI Information

NPI: 1770859324
Provider Name: OUR HOUSE MY HOUSE KC, INC.

Former Legal Business Name: OUR HOUSE OF KC, INC.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
9406 E 63RD ST STE B
RAYTOWN, MO
ZIP 64133
Phone: (816) 737-8628
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OUR HOUSE MY HOUSE KC, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Raytown, 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. OUR HOUSE MY HOUSE KC, INC. NPI is 1770859324. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Our House Of Kc, Inc..

The provider's business location address is:

9406 E 63RD ST STE B
RAYTOWN, MO
ZIP 64133-950
Phone: (816) 737-8628
Fax: (816) 737-1064

The provider's authorized official is Maylon D Williams .
The authorized official title is Provider/administrator and has the following contact phone number (816) 737-8628.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 4/4/2012.


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
1251C00000XDay Training, Developmentally Disabled ServicesWC1-0190-1211MISSOURINo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesWC1-0190-1211MISSOURIYes

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: 5/5/2024

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