Creative Supports of Kansas City, LLC

Primary specialty

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

Legal business name

CREATIVE SUPPORTS OF KANSAS CITY, LLC

Practice address

6500 NW Tower Dr
Suite B
Platte Woods, MO 64151-4463

Phone

(816) 389-6050

NPI assigned

Jul 15, 2016

Last updated

Oct 17, 2016By 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

James GuyerNPI 1689023608

Title

Executive Director/Owner

Phone

(816) 389-6050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Guyer

  • Adult Companion
  • Platte Woods, MO
  • NPI 1689023608
  NPD (past) Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1861845711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NW TOWER DR",
            "address_2": "SUITE B",
            "city": "PLATTE WOODS",
            "state": "MO",
            "postal_code": "641514463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NW TOWER DR",
            "address_2": "SUITE B",
            "city": "PLATTE WOODS",
            "state": "MO",
            "postal_code": "641514463",
            "telephone_number": "816-389-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SUPPORTS OF KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "GUYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "816-389-6050"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Balint
• Ashley Delrosario
• James Guyer
• Corban Wehr
• Neil F Young, PHARM.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Platte Woods, MO
• Providers in Platte Woods, 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 Oct 17, 2016; 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.