NPIMap

Organization Active NPI

Life Unlimited, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1164547535
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
858868904 Issued in MO
Legal business name
LIFE UNLIMITED, INC.
Practice address
5884 NE Russell Rd
Kansas City, MO 64117-1500
Phone
(816) 781-4332
Fax
(816) 781-8820
NPI assigned
Mar 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sandra Jeanne Degase
Title
VP Unlimited Property Management
Phone
(816) 474-3026

Corporate family (same tax ID) 16

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

National Provider Directory

National Provider Directory
Tax ID family
Life Unlimited Inc (17 organizations share this tax ID)

Locations

5884 NE Russell Rd
Kansas City, MO 64117

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 858868904 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

5884 NE Russell Rd
Kansas City, MO 64117-1500

Mailing address

320 Armour Rd
Ste. 101
N Kansas City, MO 64116-3506
Phone (816) 474-3026

Other practice location 1

320 Armour Rd
Ste. 101
N Kansas City, MO 64116-3506
Phone (816) 474-3026 ext. 106

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
858868904MedicaidMO

Other names 1

NPPES NPI Registry
  • Concerned Care, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1164547535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ARMOUR RD",
            "address_2": "STE. 101",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163506",
            "telephone_number": "816-474-3026",
            "fax_number": "816-474-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5884 NE RUSSELL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171500",
            "telephone_number": "816-781-4332",
            "fax_number": "816-781-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Armour Rd",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "N Kansas City",
            "state": "MO",
            "postal_code": "641163506",
            "country_code": "US",
            "telephone_number": "816-474-3026 x106",
            "fax_number": "816-474-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DEGASE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "VP UNLIMITED PROPERTY MANAGEMENT",
        "authorized_official_telephone_number": "816-474-3026"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "858868904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858868904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concerned Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Concerned Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.