Organization Active NPI

Wisdom Adult Daycare LLC

  • Respite Care Camp
  • Independence, MO
National Provider Identifier
1033833488
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite Care CampTaxonomy code 385HR2050X
Legal business name
WISDOM ADULT DAYCARE LLC
Doing business as
WISDOM ADULT DAYCARE
Practice address
9601 E Truman Rd
Independence, MO 64052-2165
Phone
(816) 749-9460
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica R MathisNPI 1932823648
Title
Owner/Operator
Phone
(816) 895-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X Primary

Addresses

Primary practice location

9601 E Truman Rd
Independence, MO 64052-2165

Mailing address

9601 E Truman Rd
Independence, MO 64052-2165
Phone (816) 749-9460

Other names 1

  • WISDOM ADULT DAYCARE Doing business as

National Provider Directory

National Provider Directory

Locations

9601 E Truman Rd
Independence, MO 64052
Phone (816) 749-9460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1033833488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 E TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522165",
            "telephone_number": "816-749-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 E TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522165",
            "telephone_number": "816-749-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "816-895-3313"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISDOM ADULT DAYCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.