Harris Legacy House, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HARRIS LEGACY HOUSE, LLC

Practice address

2746 Cypress Ave
Kansas City, MO 64128-1303

Phone

(816) 305-1616

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon K Jackson, MSN ED

Title

Executive Director

Phone

(816) 305-1616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1275077026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 CYPRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641281303",
            "telephone_number": "816-305-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 CYPRESS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641281303",
            "telephone_number": "816-305-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS LEGACY HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-305-1616",
        "authorized_official_credential": "MSN ED"
    },
    "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": []
}

• Katherine Elizabeth Harrelson, RN
• Rebecca Harrelson
• Margaret M Harrigan, PA-C
• Connie Semehar Harrington
• Haley Harrington
• Kamaria Harris-Rutherford, NP
• Allison Harris
• Alysha Harris, CHP
• Aubrey Harris
• Danica Marie Harris, MSW, PLCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.