Organization Active NPI

Manage Care Assisted Living Agency Inc.

  • In Home Supportive Care Agency
  • Kansas City, MO
National Provider Identifier
1891842456
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MANAGE CARE ASSISTED LIVING AGENCY INC.
Practice address
6724 Troost Ave
Suite 105
Kansas City, MO 64131-1500
Phone
(816) 761-5122
Fax
(816) 444-0018
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Mrs. Ruth Maria Ahmed
Title
President
Phone
(816) 761-5122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10042822 MO
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6724 Troost Ave
Suite 105
Kansas City, MO 64131-1500

Mailing address

6724 Troost Ave
Suite 105
Kansas City, MO 64131-1500
Phone (816) 761-5122

Other identifiers 1

IdentifierTypeStateIssuer
6880MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1891842456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 TROOST AVE",
            "address_2": "SUITE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311500",
            "telephone_number": "816-761-5122",
            "fax_number": "816-444-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 TROOST AVE",
            "address_2": "SUITE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311500",
            "telephone_number": "816-761-5122",
            "fax_number": "816-444-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGE CARE ASSISTED LIVING AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-761-5122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "10042822",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6880",
            "state": "MO"
        }
    ],
    "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 Mar 19, 2010; 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.