Organization Active NPI

Our House of KC, Inc

  • Developmentally Disabled Services Day Training Agency
  • Raytown, MO
National Provider Identifier
1366506446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
17809068 Issued in MO
Legal business name
OUR HOUSE OF KC, INC
Practice address
9406 E 63Rd St
B
Raytown, MO 64133-4904
Phone
(816) 737-8628
Fax
(816) 737-1064
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Halisa E. Bradshaw
Title
Office Assistant
Phone
(816) 737-8628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 17809068 MO Primary

Addresses

Primary practice location

9406 E 63Rd St
B
Raytown, MO 64133-4904

Mailing address

9406 E 63Rd St
B
Raytown, MO 64133-4904
Phone (816) 737-8628

Other names 1

  • My House Former legal business name

National Provider Directory

National Provider Directory

Locations

9406 E 63rd St
Ste B
Raytown, MO 64133
Phone (816) 737-8628

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366506446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST",
            "address_2": "B",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334904",
            "telephone_number": "816-737-8628",
            "fax_number": "816-737-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST",
            "address_2": "B",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334904",
            "telephone_number": "816-737-8628",
            "fax_number": "816-737-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE OF KC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "HALISA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "816-737-8628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "17809068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My House",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.