Organization Active NPI

Amazing Independence Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1255148698
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.