Home Away From Home Healthcare Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HOME AWAY FROM HOME HEALTHCARE FACILITY

Practice address

13323 Crystal Ave
Grandview, MO 64030-3338

Phone

(816) 525-2470

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Angelina Marie Reynolds

Title

Co-Owner

Phone

(816) 525-2470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1124233770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SW KLINE AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824064",
            "telephone_number": "816-525-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 CRYSTAL AVE",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303338",
            "telephone_number": "816-525-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AWAY FROM HOME HEALTHCARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "816-525-2470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Higdon, COTA
• Denise Y Hogard, D.D.S.
• Holland Residential Services, Inc.
• Kristen Danielle Holmes, LPN
• Verleata Lashonne Holmes
• House of Compassion
• Micheal Paul House
• Integral Health Care Services, Inc.
• Integrity LLC
• Anne M Ira, PT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Grandview, MO
• Providers in Grandview, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.