NPIMap

Organization Active NPI

Life Unlimited, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Gladstone, MO
National Provider Identifier
1508981986
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
825755008 Issued in MO
Legal business name
LIFE UNLIMITED, INC.
Practice address
7109 N Park Ave
Gladstone, MO 64118-2351
Phone
(816) 781-4332
Fax
(816) 781-8820
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Sandra Jeanne Degase
Title
VP Unlimited Property Management
Phone
(816) 474-3026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 825755008 MO Primary

Addresses

Primary practice location

7109 N Park Ave
Gladstone, MO 64118-2351

Mailing address

320 Armour Rd
Ste. 101
N Kansas City, MO 64116-3506
Phone (816) 474-3026

Other practice location 1

320 Armour Rd
Ste. 101
N Kansas City, MO 64116-3506
Phone (816) 474-3026 ext. 106

Other identifiers 1

IdentifierTypeStateIssuer
825755008MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Life Unlimited Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1508981986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ARMOUR RD",
            "address_2": "STE. 101",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163506",
            "telephone_number": "816-474-3026",
            "fax_number": "816-474-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 N PARK AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182351",
            "telephone_number": "816-781-4332",
            "fax_number": "816-781-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Armour Rd",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "N Kansas City",
            "state": "MO",
            "postal_code": "641163506",
            "country_code": "US",
            "telephone_number": "816-474-3026 x106",
            "fax_number": "816-474-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DEGASE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "VP UNLIMITED PROPERTY MANAGEMENT",
        "authorized_official_telephone_number": "816-474-3026"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "825755008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825755008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.