Organization Active NPI

My Blessed Home

  • Assisted Living Facility
  • Kansas City, MO
National Provider Identifier
1265298475
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MY BLESSED HOME
Practice address
307 E 63Rd St
Kansas City, MO 64113-2225
Phone
(816) 678-8061
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Damon Harrell Jr.
Title
Owner
Phone
(816) 878-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

307 E 63Rd St
Kansas City, MO 64113-2225

Mailing address

300 SW Noel St
Lees Summit, MO 64063-3810
Phone (816) 678-8061

National Provider Directory

National Provider Directory

Locations

307 E 63rd St
Kansas City, MO 64113
Phone (816) 678-8061

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1265298475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW NOEL ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633810",
            "telephone_number": "816-678-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132225",
            "telephone_number": "816-678-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BLESSED HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-878-1248",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 Feb 26, 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.