Goodwill of Western Missouri and Eastern Kansas

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS

Practice address

1817 Campbell St
Kansas City, MO 64108-1739

Phone

(816) 842-7425

NPI assigned

Aug 17, 2018

Last updated

Oct 3, 2018By 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

Edward Lada Jr.

Title

President/Ceo

Phone

(816) 842-7425

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1841770955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 CAMPBELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081739",
            "telephone_number": "816-842-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 CAMPBELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081739",
            "telephone_number": "816-842-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "LADA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "816-842-7425",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie N Goodloe, AGNP-C
• Adam Mitchell Goodreau, M.D.
• Wesley Goodrich, DO, MPH
• Da'Lesa Goodspeed, LCSW
• Goodway Health Services LLC
• Amy Goodwin, MSN, APRN, CPNP-PC
• Deborah Carol Goodwin, NP-C
• Emily Jane Goodwin, M.D.
• Jayci Goodwin, PA-C
• Lydia D Goodwin

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.