Developmental Disability Services of Jackson County - Eitas

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS

Practice address

8508 Hillcrest Rd
Kansas City, MO 64138-2762

Phone

(816) 363-2000

Fax

(816) 363-1755

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Michael P. Haseltine

Title

Deputy Director

Phone

(816) 363-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Developmental Disability Services of Jackson County - Eitas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Developmental Disability Services of Jackson County - Eitas

  • Bus
  • Kansas City, MO
  • NPI 1205956810
  NPD tax ID
• Developmental Disability Services of Jackson County - Eitas

  • Case Management Agency
  • Kansas City, MO
  • NPI 1861662827
  NPD tax ID

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1144556572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 HILLCREST RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641382762",
            "telephone_number": "816-363-2000",
            "fax_number": "816-363-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 HILLCREST RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641382762",
            "telephone_number": "816-363-2000",
            "fax_number": "816-363-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "HASELTINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "816-363-2000"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853541506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Jean Dettenwanger, CPNP-PC
• Jacqueline Ann Devaney, DC
• Elisabeth Anne Devanny, PA-C
• Alec Pietro Devecchi
• Developing Potential, Inc.
• Developmental Disability Services of Jackson County - Eitas
• Developmental Disability Services of Jackson County - Eitas
• Sara Michelle Devero, DPT
• Danielle Claire Deville, PHD
• Joseph Wesley Devine, LPN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.