Our House My House KC, Inc.

Primary specialty

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

License

WC1-0190-1211 Issued in MO

Legal business name

OUR HOUSE MY HOUSE KC, INC.

Practice address

9406 E 63Rd St Ste B
Raytown, MO 64133-4950

Phone

(816) 737-8628

Fax

(816) 737-1064

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Maylon D Williams

Title

Provider/Administrator

Phone

(816) 737-8628

Specialties & licenses 2

Addresses

Other names 1

• Our House of KC, Inc. Former legal business name

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1770859324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST STE B",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334950",
            "telephone_number": "816-737-8628",
            "fax_number": "816-737-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9406 E 63RD ST STE B",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334950",
            "telephone_number": "816-737-8628",
            "fax_number": "816-737-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE MY HOUSE KC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MAYLON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "816-737-8628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "WC1-0190-1211",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "WC1-0190-1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our House of KC, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Steven L Padget, O.D.
• Willie Lee Parker III, DPT
• Michael Eugene Patterson, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raytown, MO
• Providers in Raytown, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.