Family Developmental Support LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FAMILY DEVELOPMENTAL SUPPORT LLC

Practice address

8700 Monrovia St
Lenexa, KS 66215-3500

Phone

(913) 634-9411

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Gosbert Banturaki

Title

Director

Phone

(913) 634-9411

Specialties & licenses 1

Addresses

Other names 1

• Family Developmental Support LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1740909316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MONROVIA ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153500",
            "telephone_number": "913-634-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MONROVIA ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153500",
            "telephone_number": "913-634-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DEVELOPMENTAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "BANTURAKI",
        "authorized_official_first_name": "GOSBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "913-634-9411"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "APIs",
            "affiliation": "N",
            "endpointDescription": "APIs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8700 Monrovia St",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662153500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Developmental Support LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.