Organization Active NPI

Johnson County Developmental Supports

  • Case Management Agency
  • Lenexa, KS
National Provider Identifier
1215158233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
KSA753307B Issued in KS
Legal business name
JOHNSON COUNTY DEVELOPMENTAL SUPPORTS
Practice address
10501 Lackman Rd
Lenexa, KS 66219-1223
Phone
(913) 826-2626
Fax
(913) 826-2627
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Karla J Gravenstein
Title
Financial Manager
Phone
(913) 826-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X KSA753307B KS Primary

Addresses

Primary practice location

10501 Lackman Rd
Lenexa, KS 66219-1223

Mailing address

10501 Lackman Rd
Lenexa, KS 66219-1223
Phone (913) 826-2626

National Provider Directory

National Provider Directory
Tax ID family
Johnson County Developmental Supports2 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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215158233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 LACKMAN RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191223",
            "telephone_number": "913-826-2626",
            "fax_number": "913-826-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 LACKMAN RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191223",
            "telephone_number": "913-826-2626",
            "fax_number": "913-826-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY DEVELOPMENTAL SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVENSTEIN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "913-826-2638",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "KSA753307B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.