Organization Active NPI

Inity Ccprx Home Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Kansas City, MO
National Provider Identifier
1285119545
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
INITY CCPRX HOME CARE LLC
Practice address
8930 Evanston Ave
Kansas City, MO 64138-4732
Phone
(816) 617-1398
Fax
(816) 832-8236
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Frances (Nia) Evelyn Becker, R.N.B.S.N.C.M.O.E.NPI 1699011676
Title
Owner/Administrator
Phone
(816) 617-1398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

8930 Evanston Ave
Kansas City, MO 64138-4732

Mailing address

8930 Evanston Ave
Kansas City, MO 64138-4732
Phone (816) 617-1398

Other names 1

  • Nia F Becker RN-BSN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009000208 MO Part B Supplier - Clinic/Group Practice 3274864053 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2202346Inity Ccprx Home Care LLC8930 Evanston Ave, Kansas City, MO 64138Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1285119545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 EVANSTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641384732",
            "telephone_number": "816-617-1398",
            "fax_number": "816-832-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 EVANSTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641384732",
            "telephone_number": "816-617-1398",
            "fax_number": "816-832-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INITY CCPRX HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "FRANCES (NIA)",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "816-617-1398",
        "authorized_official_credential": "R.N.B.S.N.C.M.O.E."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nia F Becker RN-BSN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.