Organization Active NPI

Choices for Life, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kansas City, KS
National Provider Identifier
1245509777
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
3747P1801X Issued in KS
Legal business name
CHOICES FOR LIFE, LLC
Practice address
2030 N 76TH Ter
Kansas City, KS 66109-2347
Phone
(913) 961-1719
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Michelle Callahan, LSCSWNPI 1417226945
Title
Director of Administration
Phone
(913) 961-1719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 3747P1801X KS Primary

Addresses

Primary practice location

2030 N 76TH Ter
Kansas City, KS 66109-2347

Mailing address

11027 Northridge Dr
Kansas City, KS 66109-4905
Phone (913) 961-1719

Other identifiers 1

IdentifierTypeStateIssuer
200656440AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1245509777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11027 NORTHRIDGE DR",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094905",
            "telephone_number": "913-961-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N 76TH TER",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661092347",
            "telephone_number": "913-961-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "913-961-1719",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "3747P1801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200656440A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.