NPIMap

Organization Active NPI

Northstar Residential Care, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Independence, MO
National Provider Identifier
1659490704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
NORTHSTAR RESIDENTIAL CARE, INC.
Practice address
18208 E 27TH St S
Independence, MO 64057-1506
Phone
(816) 795-7652
Fax
(816) 795-0163
NPI assigned
Mar 28, 2007
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
Mr. David Bradley North
Title
Director
Phone
(816) 795-7652

Specialties & licenses 1

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

Addresses

Primary practice location

18208 E 27TH St S
Independence, MO 64057-1506

Mailing address

18805 Hanthorne Dr
Independence, MO 64057-1676
Phone (816) 795-7652

National Provider Directory

National Provider Directory
Tax ID family
Northstar Residential Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659490704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18805 HANTHORNE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571676",
            "telephone_number": "816-795-7652",
            "fax_number": "816-795-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18208 E 27TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571506",
            "telephone_number": "816-795-7652",
            "fax_number": "816-795-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "816-795-7652",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

Other providers in Independence, 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.