Active NPI
Our House of KC, Inc
- Developmentally Disabled Services Day Training Agency
- Raytown, MO
National Provider Identifier
1366506446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 17809068
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.