Active NPI
Garrett'S Adult Day Care Program LLC
- Adult Day Care Clinic/Center
- Kansas City, MO
National Provider Identifier
1265909642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- GARRETT'S ADULT DAY CARE PROGRAM LLC
- Practice address
- 8550 Holmes Rd Ste 131
Kansas City, MO 64131-3288 - Phone
- (816) 255-3011
- NPI assigned
- Oct 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tynaise Renee Ward, LPN
- Title
- Director
- Phone
- (816) 255-3011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
8550 Holmes Rd Ste 131
Kansas City, MO 64131-3288
Mailing address
8550 Holmes Rd Ste 131
Kansas City, MO 64131-3288
Phone (816) 255-3011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1540 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
8550 Holmes Rd
Ste 131
Kansas City, MO 64131
Phone (816) 255-3011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540339200000",
"number": "1265909642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 HOLMES RD STE 131",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641313288",
"telephone_number": "816-255-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 HOLMES RD STE 131",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641313288",
"telephone_number": "816-255-3011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARRETT'S ADULT DAY CARE PROGRAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "TYNAISE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "816-255-3011",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1540",
"state": "MO"
}
],
"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 Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.