Caudell Specialized Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CAUDELL SPECIALIZED CARE

Doing business as

Ican

Practice address

14300 E 32ND St S
Independence, MO 64055-2508

Phone

(816) 254-4226

Fax

(816) 833-8638

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rocky L Caudell

Title

Administrator

Phone

(816) 254-4226

Specialties & licenses 1

Addresses

Other names 1

• ICAN Doing business as

Tax ID family

Caudell Specialized Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Caudell Specialized Care Inc

  dba Ican

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Independence, MO
  • NPI 1841478138
  NPD tax ID

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1205969896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 E 32ND ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640552508",
            "telephone_number": "816-254-4226",
            "fax_number": "816-833-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 32ND ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640552508",
            "telephone_number": "816-254-4226",
            "fax_number": "816-833-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUDELL SPECIALIZED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CAUDELL",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-254-4226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Carver, COTA/L
• Lora Jean Carver, PHARMD
• Monica A Cass
• Matthew Caterine
• Thomas G Cates III, D.D.S
• Caudell Specialized Care Inc (Ican)
• Mya Clare Cavanagh
• Abigail Cavender
• Celebraces Independence LLC
• Center for the Developmentally Disabled

• Developmentally Disabled Services Day Training Agency in Independence, MO
• Providers in Independence, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.