NPIMap

Organization Active NPI

The Community of the Good Shepherd

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lees Summit, MO
National Provider Identifier
1679601256
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
THE COMMUNITY OF THE GOOD SHEPHERD
Practice address
109 NE Forest Ave
Lees Summit, MO 64063-1902
Phone
(816) 554-0067
NPI assigned
Mar 2, 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
Mrs. Krista Renee' Baumgardner
Title
Accounting Clerk
Phone
(816) 767-8090

Specialties & licenses 1

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

Addresses

Primary practice location

109 NE Forest Ave
Lees Summit, MO 64063-1902

Mailing address

10101 James a Reed Rd
Kansas City, MO 64134-2183
Phone (816) 767-8090

National Provider Directory

National Provider Directory
Tax ID family
The Community of the Good Shepherd9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679601256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 JAMES A REED RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641342183",
            "telephone_number": "816-767-8090",
            "fax_number": "816-767-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NE FOREST AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631902",
            "telephone_number": "816-554-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY OF THE GOOD SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "ACCOUNTING CLERK",
        "authorized_official_telephone_number": "816-767-8090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, 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.