Organization Active NPI

Sanctuary of Grace

  • In Home Supportive Care Agency
  • Kansas City, MO
National Provider Identifier
1285312124
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SANCTUARY OF GRACE
Practice address
3401 E 12TH St
Kansas City, MO 64127-1551
Phone
(629) 401-7540
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Kimberly Tate
Title
Ceo
Phone
(629) 401-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3401 E 12TH St
Kansas City, MO 64127-1551

Mailing address

10 Rivermeadows Dr
Florissant, MO 63031-6586
Phone (629) 401-7540

National Provider Directory

National Provider Directory

Locations

3401 E 12th St
Kansas City, MO 64127
Phone (629) 401-7540

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1285312124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RIVERMEADOWS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316586",
            "telephone_number": "629-401-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271551",
            "telephone_number": "629-401-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY OF GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "629-401-7540"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jul 10, 2023; 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.