Malotte Care Provider Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

32090000X Issued in KS

Legal business name

MALOTTE CARE PROVIDER SERVICES INC

Practice address

13220 W 91St Ter
Lenexa, KS 66215-3679

Phone

(913) 888-0878

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Lawrence Malotte

Title

Director

Phone

(913) 888-0878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1659708519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 W 91ST TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 W 91ST TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153679",
            "telephone_number": "913-888-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOTTE CARE PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MALOTTE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "913-888-0878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "32090000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Mahon, M.D.
• Ellie Maites
• Prachi Majamundar
• Brianna Makins
• Laura Malagon Palacios
• Tracey Mamerow, APRN
• Lexis Mangan, MOT
• Colt Mangus, DC
• Joan M Mansour
• Maplewood Medical Services

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.