Active NPI
Amazing Independence Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kansas City, MO
National Provider Identifier
1255148698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- AMAZING INDEPENDENCE CARE LLC
- Practice address
- 4540 NE 38TH St
Kansas City, MO 64117-2332 - Phone
- (816) 277-4174
- Fax
- (816) 817-8572
- NPI assigned
- Dec 17, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mohamed Abdi
- Title
- President/Owner
- Phone
- (816) 277-4174
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4540 NE 38TH St
Kansas City, MO 64117-2332
Mailing address
4540 NE 38TH St
Kansas City, MO 64117-2332
Phone (816) 277-4174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2024.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1255148698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 NE 38TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641172332",
"telephone_number": "816-277-4174",
"fax_number": "816-817-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 NE 38TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641172332",
"telephone_number": "816-277-4174",
"fax_number": "816-817-8572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING INDEPENDENCE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "ABDI",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "816-277-4174"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 17, 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.