Caudell Specialized Care Inc

Primary specialty

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

Legal business name

CAUDELL SPECIALIZED CARE INC

Doing business as

Ican

Practice address

14300 E 32ND St S
Independence, MO 64055-2508

Phone

(816) 254-4226

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rocky Lee Caudell

Title

Administrator

Phone

(816) 254-4226

Specialties & licenses 1

Addresses

Other names 1

• ICAN Doing business as

Tax ID family

Caudell Specialized Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Caudell Specialized Care

  dba Ican

  • Developmentally Disabled Services Day Training Agency
  • Independence, MO
  • NPI 1205969896
  NPD tax ID

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1841478138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 E 32ND ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640552508",
            "telephone_number": "816-254-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 32ND ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640552508",
            "telephone_number": "816-254-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUDELL SPECIALIZED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CAUDELL",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-254-4226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica A Cass
• Matthew Caterine
• Thomas G Cates III, D.D.S
• Emilyann Noel Cato
• Caudell Specialized Care (Ican)
• Mya Clare Cavanagh
• Abigail Cavender
• Celebraces Independence LLC
• Center for the Developmentally Disabled
• Center for the Developmentally Disabled

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Independence, MO
• Providers in Independence, 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 Feb 8, 2008; 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.