Betty Lou Wallace Recovery

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BETTY LOU WALLACE RECOVERY

Practice address

13013 State Line Rd
Kansas City, MO 64145

Phone

(816) 599-7382

Fax

(816) 599-7510

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Kevin O'Grady

Title

Chief Executive Officer/Ceo

Phone

(816) 599-7382

Specialties & licenses 1

Addresses

Other names 1

• Midwest Recovery Centers Doing business as

Locations

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1740052299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64145",
            "telephone_number": "816-599-7382",
            "fax_number": "816-599-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13013 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64145",
            "telephone_number": "816-599-7382",
            "fax_number": "816-599-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY LOU WALLACE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "O'GRADY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/CEO",
        "authorized_official_telephone_number": "816-599-7382"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tawnya M Bettis, LMSW
• Heather L Betts-Urness, PHARM.D.
• Brandi Betts
• Betty Billiard Group Home
• Betty Billiard Group Home
• Betty Lou Wallace Recovery LLC
• Betty Lou Wallace Recovery LLC
• Betty Lou Wallace Recovery LLC
• Jack Edward Beuerlein, DDS
• Evelyn Beussink, LPC

• Mental Illness Community Based Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.