Active NPI
Rising Phoenix Community Living, LLC
- Developmentally Disabled Services Day Training Agency
- Lawrence, KS
National Provider Identifier
1194247858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- RISING PHOENIX COMMUNITY LIVING, LLC
- Practice address
- 402 John Doy CT
Lawrence, KS 66049-4257 - Phone
- (785) 331-9323
- NPI assigned
- Jul 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Lauren Yoder
- Title
- Owner
- Phone
- (785) 331-9323
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X |
Addresses
Primary practice location
402 John Doy CT
Lawrence, KS 66049-4257
Mailing address
402 John Doy CT
Lawrence, KS 66049-4257
Phone (785) 331-9323
National Provider Directory
National Provider DirectoryLocations
1414 W 6th St
Ste 101
Lawrence, KS 66044
3200 Haskell Ave
Ste 160
Lawrence, KS 66046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Lawrence, KS
- NPI 1407388333
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1194247858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 JOHN DOY CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494257",
"telephone_number": "785-331-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 JOHN DOY CT",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494257",
"telephone_number": "785-331-9323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING PHOENIX COMMUNITY LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "YODER",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "LAUREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-331-9323"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.