Organization Active NPI

Support Professionals II

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1902167067
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SUPPORT PROFESSIONALS II
Practice address
8540 Blue Ridge
Kansas City, MO 64138
Phone
(816) 759-0112
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Patrice Veraguth
Title
Administrator
Phone
(816) 898-7529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8540 Blue Ridge
Kansas City, MO 64138

Mailing address

8540 Blue Ridge
Kansas City, MO 64138
Phone (816) 759-0112

Other names 1

  • Support Professionals Doing business as

National Provider Directory

National Provider Directory

Locations

8540 Blueridge
Raytown, MO 64138
Phone (816) 759-0112

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1902167067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 BLUE RIDGE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64138",
            "telephone_number": "816-759-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BLUE RIDGE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64138",
            "telephone_number": "816-759-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT PROFESSIONALS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "VERAGUTH",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-898-7529"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [
        {
            "organization_name": "Support Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 6, 2012; 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.