Active NPI
Selectra Onesource, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kansas City, MO
National Provider Identifier
1568658656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SELECTRA ONESOURCE, INC.
- Practice address
- 1734 E 63Rd St
448
Kansas City, MO 64110-3543 - Phone
- (816) 822-1000
- Fax
- (816) 822-1040
- NPI assigned
- Sep 21, 2007
- 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. Shania Latrice Wright
- Title
- Director
- Phone
- (816) 822-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1734 E 63Rd St
448
Kansas City, MO 64110-3543
Mailing address
1734 E 63Rd St
448
Kansas City, MO 64110-3543
Phone (816) 822-1000
Other names 1
- Selectra Health Services
National Provider Directory
National Provider Directory- Tax ID family
- Selectra Health Services
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
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- Kansas City, MO
- NPI 1124240726
-
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- Kansas City, MO
- NPI 1720253727
-
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- NPI 1760679195
-
- Home Health Agency
- Kansas City, MO
- NPI 1851588289
-
- Adult Day Care Clinic/Center
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- NPI 1962699397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199577600000",
"number": "1568658656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 E 63RD ST",
"address_2": "448",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641103543",
"telephone_number": "816-822-1000",
"fax_number": "816-822-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 E 63RD ST",
"address_2": "448",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641103543",
"telephone_number": "816-822-1000",
"fax_number": "816-822-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECTRA ONESOURCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2008-01-06",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "SHANIA",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "816-822-1000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Selectra Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.