Organization Active NPI

Community Support Partners

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raytown, MO
National Provider Identifier
1063535649
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
6497-9809 Issued in 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
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Cory Royer
Title
Owner
Phone
(816) 777-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 6497-9809 MO Primary

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

National Provider Directory

National Provider Directory
Tax ID family
Community Support Partners5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1063535649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 HICKMAN MILLS DR",
            "address_2": "BLDG 2",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64137",
            "telephone_number": "816-777-1301",
            "fax_number": "816-777-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8959 E. 59TH STREET",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333709",
            "telephone_number": "816-777-1301",
            "fax_number": "816-777-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-777-1301"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "6497-9809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.