Organization Active NPI

Ozark Recovery Housing LLC

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1891451761
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OZARK RECOVERY HOUSING LLC
Practice address
7505 E 87TH St
Kansas City, MO 64138-3917
Phone
(760) 908-1253
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Andrea C Jasdanwala, FNP-CNPI 1619405602
Title
Ceo
Phone
(760) 908-1253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7505 E 87TH St
Kansas City, MO 64138-3917

Mailing address

7505 E 87TH St
Kansas City, MO 64138-3917
Phone (760) 908-1253

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1891451761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "760-908-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "760-908-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK RECOVERY HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "JASDANWALA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-908-1253",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.