Community Support Partners
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raytown, MO
NPI 1063535649 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1063535649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 6497-9809 (MO)
- Legal business name
- COMMUNITY SUPPORT PARTNERS
- Practice address
- 8959 E. 59TH Street
Raytown, MO 64133-3709 - Phone
- (816) 777-1301
- Fax
- (816) 777-1305
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Cory Royer
- Title
- Owner
- Phone
- (816) 777-1301
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Community Support Partners
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 6497-9809 | MO | Yes |
Addresses
Primary practice location
8959 E. 59TH Street
Raytown, MO 64133-3709
Mailing address
10330 Hickman Mills Dr
BLDG 2
Kansas City, MO 64137
Phone (816) 777-1301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856285408 | Other | MO | PROVIDER NUMBER |
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All providers in Raytown, MO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.