Dynamic Adult Daycare Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DYNAMIC ADULT DAYCARE INC

Practice address

11800 E 86TH Ter
Raytown, MO 64138-5154

Phone

(816) 237-9373

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Mary Jones

Title

President

Phone

(816) 237-9373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1316620867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 RAYTOWN TRFY # 244",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641333847",
            "telephone_number": "816-237-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E 86TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641385154",
            "telephone_number": "816-237-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ADULT DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-237-9373"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Duke
• Tracy Dunlap, LSCSW
• Zoe Dunning
• Barbara S Durbin, OTR/L
• Nolan Ray Dyer
• Jeanne Marie Earnest, MS
• Sydney Ann Eastman, PT, DPT
• Edgewood Manor Health Care Center, L.L.C.
• Edgewood Manor Opco, LLC
• Edgewood Manor Operations Management LLC

• Adult Day Care Clinic/Center in Raytown, MO
• Providers in Raytown, MO by specialty
• Adult Day Care Clinic/Center in Missouri

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