1St Access, LLC
Organization Active NPI In Home Supportive Care Agency · Raytown, MO
NPI 1104298876 · NPPES record last updated Oct 21, 2015
Key facts
- NPI
- 1104298876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 1ST ACCESS, LLC
- Practice address
- 9504 E 63Rd St
Suite 214
Raytown, MO 64133-4948 - Phone
- (816) 503-9865
- Fax
- (816) 503-9408
- NPI assigned
- Oct 21, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- ACCESS HOME HEALTH, INC.
Authorized official
- Name
- Darrian Jujuan Gray
- Title
- Owner/ President
- Phone
- (816) 503-9865
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Access Home Health Inc
Locations
9504 E 63rd St
Ste 214
Raytown, MO 64133
Phone (816) 503-9865
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
9504 E 63Rd St
Suite 214
Raytown, MO 64133-4948
Mailing address
9504 E 63Rd St
Suite 214
Raytown, MO 64133-4948
Phone (816) 503-9865
Other providers in Raytown, MO
- 21St Century Therapy, P.C.
- Access Home Health, Inc.
- Adorable Living , LLC
- Adservior Mediation Services, LLC
- Advanced Eyecare PC
All providers in Raytown, MO · In Home Supportive Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2015. 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.