Organization Active NPI

Garrett'S Adult Day Care Program LLC

  • Adult Day Care Clinic/Center
  • Kansas City, MO
National Provider Identifier
1265909642
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Oct 24, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1540MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.