Dccca, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

0047891 Issued in KS

Legal business name

DCCCA, INC.

Doing business as

DCCCA HCBS

Practice address

3312 Clinton Pkwy
Lawrence, KS 66047-3624

Phone

(785) 841-4138

Fax

(785) 841-5777

NPI assigned

Sep 20, 2016

Organization subpart

Yes

Parent organization

DCCCA, INC.As reported in NPPES

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

Authorized official

Name

Kerye J Jackson, CPA, CMA

Title

Cfo

Phone

(785) 841-4138

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DCCCA HCBS Doing business as

Tax ID family

Dccca Inc14 organizations share this tax ID, including this one

Part of

Dccca Inc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lawrence, KS
  • NPI 1356469209
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pratt, KS
  • NPI 1477646073
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mission, KS
  • NPI 1639044365
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
  • NPI 1679691331
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
  • NPI 1700904513
  NPD tax ID
• Dccca, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission, KS
  • NPI 1801486030
  NPD tax ID
• Dccca, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1841405354
  NPD tax ID
• Dccca, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburg, KS
  • NPI 1861793556
  NPD tax ID
• Dccca, Inc

  • Voluntary or Charitable Agency
  • Lawrence, KS
  • NPI 1881811867
  NPD tax ID
• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lawrence, KS
  • NPI 1891813614
  NPD tax ID
• Dccca, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pittsburg, KS
  • NPI 1417076001
  NPD tax ID
• Dccca, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
  • NPI 1841494929
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dccca, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mission, KS
  • NPI 1639044365
  NPPES parent name

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1467900357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473624",
            "telephone_number": "785-841-4138",
            "fax_number": "785-841-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 CLINTON PKWY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473624",
            "telephone_number": "785-841-4138",
            "fax_number": "785-841-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCCCA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCCCA, INC.",
        "enumeration_date": "2016-09-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KERYE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-841-4138",
        "authorized_official_credential": "CPA, CMA"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "KS",
            "license": "0047891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200655670S",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILD PLACING AGENCY LICENSE",
            "identifier": "0047891",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCCCA HCBS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCCCA HCBS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Day
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• Dccca, Inc
• Dccca, Inc
• Dccca, Inc
• Dccca, Inc.
• Jennifer Ann De la Rosa, LMSW
• Natalie Jo Deboer, LAT, ATC
• Byron Seth Decamp, MD
• David A Deer, M.D.

• Foster Care Agency in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Foster Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.